| Larry Leyderman, PA-C | |
|
13933 17th St Ste 200, Dade City, FL 33525-4604 | |
| (352) 437-5972 | |
| (352) 437-5974 |
| Full Name | Larry Leyderman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 13933 17th St Ste 200, Dade City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609143270 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Zephyrhills | Zephyrhills, FL | Hospital |
| Adventhealth Dade City | Dade city, FL | Hospital |
| Adventhealth Tampa | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 953 |
| Lakeland Regional Health Systems Inc | 8325952914 | 513 |
| Entity Name | Lakeland Regional Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Leyderman, PA-C 1324 Lakeland Hills Blvd, Attn: Managed Care Dept, Lakeland, FL 33805-4543 Ph: (863) 687-1100 | Larry Leyderman, PA-C 13933 17th St Ste 200, Dade City, FL 33525-4604 Ph: (352) 437-5972 |
Mr. Thomas Gregory Kuerbitz Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14027 5th St, Dade City, FL 33525 Phone: 352-518-2000 |
Jamie Griffin Herr, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14010 21st St, Dade City, FL 33525 Phone: 352-567-3325 Fax: 352-567-3385 |
Quintensia Lolita Gaitan-harris, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 37912 Church Ave, Dade City, FL 33525 Phone: 407-274-7624 |
John S Woodyard, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-567-1974 |
Ms. Sally Medina, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13100 Fort King Rd, Emergency Department, Dade City, FL 33525 Phone: 352-521-1100 Fax: 352-521-1169 |