| Kimberly Theresa Caudell, PA-C | |
|
725 6th Ave S Ste 3200, St Petersburg, FL 33701-4877 | |
| (727) 553-7431 | |
| (727) 553-7432 |
| Full Name | Kimberly Theresa Caudell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 725 6th Ave S Ste 3200, St Petersburg, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053275081 | NPI | - | NPPES |
| 1053275081 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9121402 (Florida) | Primary |
| 363A00000X | Physician Assistant | PA9121402 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohi West Medical Group Llc | 2668882507 | 198 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Theresa Caudell, PA-C 725 6th Ave S Ste 3200, St Petersburg, FL 33701-4877 Ph: (727) 502-6572 | Kimberly Theresa Caudell, PA-C 725 6th Ave S Ste 3200, St Petersburg, FL 33701-4877 Ph: (727) 553-7431 |
Mr. Imtiaz Haroon Memon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, St. Petersburg, St Petersburg, FL 33709 Phone: 727-521-5510 | |
Kristin Marie Paul Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5939 27th Ter N, St Petersburg, FL 33710 Phone: 651-895-6930 | |
Gulnar Samreen Memon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6000 49th St N, St Petersburg, FL 33709 Phone: 727-521-5510 | |
Daniela Quintana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 10th St N, St Petersburg, FL 33705 Phone: 727-824-8243 Fax: 727-824-8233 | |
Whitney L. Clowney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 7th St S, St Petersburg, FL 33701 Phone: 727-824-7132 Fax: 727-824-7133 | |
Heather Shimoji Barkov, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4226 Central Ave, St Petersburg, FL 33711 Phone: 727-321-3915 | |
Selah Baker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 625 6th Ave S Ste 450, St Petersburg, FL 33701 Phone: 727-898-2663 |