| Mrs Jessy Samuel Abraham, | |
|
13670 Walsingham Rd, Largo, FL 33774-3532 | |
| (727) 593-9848 | |
| (727) 596-4532 |
| Full Name | Mrs Jessy Samuel Abraham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 13670 Walsingham Rd, Largo, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457738890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN9226290 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9226920 (Florida) | Secondary |
| 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 | Baycare Urgent Care, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184677007 PECOS PAC ID: 6103841051 Enrollment ID: O20051010000665 |
| Entity Name | Quality Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598545063 PECOS PAC ID: 5799132841 Enrollment ID: O20231110000298 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessy Samuel Abraham, 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Mrs Jessy Samuel Abraham, 13670 Walsingham Rd, Largo, FL 33774-3532 Ph: (727) 593-9848 |
Cassandra Hoffman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458 | |
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Radica Singh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532 | |
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360 | |
Alyssa Marie King Ewald, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12224 70th St, Largo, FL 33773 Phone: 727-434-1377 | |
Adissa O. Perez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Highland Ave N, Largo, FL 33770 Phone: 727-683-2900 Fax: 727-683-2901 |