| Koren Schram, PA-C | |
|
12000 4th St N, Apt 612, Saint Petersburg, FL 33716-1765 | |
| (603) 359-0698 | |
| Not Available |
| Full Name | Koren Schram |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 12000 4th St N, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437509437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109452 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 2016023388 (Missouri) | Primary |
| Entity Name | SSM Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Entity Name | Mercy East Ambulatory Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Koren Schram, PA-C 12000 4th St N, Apt 612, Saint Petersburg, FL 33716-1765 Ph: (603) 359-0698 | Koren Schram, PA-C 12000 4th St N, Apt 612, Saint Petersburg, FL 33716-1765 Ph: (603) 359-0698 |
Ryan G Ross, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 625 6th Ave S Ste 450, Saint Petersburg, FL 33701 Phone: 727-898-2663 Fax: 727-568-6836 |
Fallon Lanham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 5th St S Ste 302, Saint Petersburg, FL 33701 Phone: 813-505-2377 Fax: 813-200-3491 |
Sherill Albert, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2345 14th St N, Saint Petersburg, FL 33704 Phone: 727-954-0295 |
Shreya Patel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7330 4th St N, Saint Petersburg, FL 33702 Phone: 727-251-8465 |
Ms. Jamie King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, Saint Petersburg, FL 33701 Phone: 727-767-8480 Fax: 727-767-8420 |
Marisa Benedict, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Tyrone Blvd N, Saint Petersburg, FL 33710 Phone: 727-605-5591 |
Brianna Taylor Nikodem, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5398 Park St N, Saint Petersburg, FL 33709 Phone: 727-544-1441 |