| Mr Theodore Anastasios Pantaridis, PA-C | |
|
5818 S Dixie Hwy, West Palm Beach, FL 33405-3608 | |
| (561) 429-4779 | |
| Not Available |
| Full Name | Mr Theodore Anastasios Pantaridis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 5818 S Dixie Hwy, West Palm Beach, 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 |
|---|---|---|---|
| 1376783548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9103667 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Of The Palm Beaches Pa | 3375702830 | 10 |
| Entity Name | Wellington Internal Medicine Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154426591 PECOS PAC ID: 3072595230 Enrollment ID: O20040602001197 |
| Entity Name | Urgent Care of the Palm Beaches PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609159995 PECOS PAC ID: 3375702830 Enrollment ID: O20120302000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Theodore Anastasios Pantaridis, PA-C 12067 Basin St W, Wellington, FL 33414-5754 Ph: (561) 639-9580 | Mr Theodore Anastasios Pantaridis, PA-C 5818 S Dixie Hwy, West Palm Beach, FL 33405-3608 Ph: (561) 429-4779 |
Mary Ann Beck Corsello, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 525 Okeechobee Blvd, City Tower Place 14th Floor, West Palm Beach, FL 33401 Phone: 561-804-0200 Fax: 561-804-0222 |
Mrs. Neesha Patel Joshi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2031 Palm Beach Lakes Blvd, Ste 100, West Palm Beach, FL 33409 Phone: 561-681-9808 Fax: 561-689-9499 |
Gregory Oneal Bland, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 45th St, West Palm Beach, FL 33407 Phone: 561-842-6141 |
Alyssa Landau, Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 45th St, Kimmel Bldg, West Palm Beach, FL 33407 Phone: 561-844-5255 Fax: 561-844-5245 |
Olga Shuyda, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2201 45th St, West Palm Beach, FL 33407 Phone: 561-842-6141 |
Mrs. Kaitlyn Rose Sprague, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 Village Blvd Suite #150, West Palm Beach, FL 33409 Phone: 561-331-8800 |
Natalie Anne Costa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4623 Forest Hill Blvd Ste 101, West Palm Beach, FL 33415 Phone: 561-967-8888 |