| Leosvel Fraga, | |
|
300 Pinellas St, Clearwater, FL 33756-3804 | |
| (813) 870-4015 | |
| (813) 605-6269 |
| Full Name | Leosvel Fraga |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 6 Years |
| Location | 300 Pinellas St, Clearwater, 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 |
|---|---|---|---|
| 1679196695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA594 (Florida) | Primary |
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
| Mease Dunedin Hospital | Dunedin, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Drs. Ellis, Rojas, Ross & Debs, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255313169 PECOS PAC ID: 4587563408 Enrollment ID: O20040108000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Leosvel Fraga, 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Leosvel Fraga, 300 Pinellas St, Clearwater, FL 33756-3804 Ph: (813) 870-4015 |
Hunter Douglas Barrett, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Briana Denise Johnson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Janie E Yazdi, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Nicole Williamson, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Gulf To Bay Blvd, Clearwater, FL 33759 Phone: 813-574-5200 | |
Carmen Lucy Venable, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Ms. Amanda L Wolf, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-573-7777 Fax: 727-573-7710 | |
Marcus Everrett Thomas, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 |