| Ms Mary Brooke Calitri, | |
|
1700 E Venice Ave, Venice, FL 34292-3190 | |
| (941) 483-9760 | |
| (941) 483-9775 |
| Full Name | Ms Mary Brooke Calitri |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1700 E Venice Ave, Venice, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457149221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9120861 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Port Charlotte | Port charlotte, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 953 |
| Ies Florida Pllc | 8921485004 | 45 |
| Entity Name | Millennium Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| 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 |
| Entity Name | Ies Florida PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Brooke Calitri, 2675 Winkler Ave Ste 200, Fort Myers, FL 33901-9328 Ph: (941) 483-9760 | Ms Mary Brooke Calitri, 1700 E Venice Ave, Venice, FL 34292-3190 Ph: (941) 483-9760 |
Shannon Bednarz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1370 E Venice Ave Ste 205, Venice, FL 34285 Phone: 941-488-2020 |
Lauren Ann Woomer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19790 Wellen Park Blvd, Suite 201b, Venice, FL 34293 Phone: 941-777-7771 |
Ryan Beadle, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21550 Angela Ln, Venice, FL 34293 Phone: 941-493-7400 Fax: 941-493-1940 |
Megan Ashlee Econopouly, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Palermo Pl, Venice, FL 34285 Phone: 941-484-4778 |
Kandyce Tran, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 8036 S Tamiami Trl, Venice, FL 34293 Phone: 941-244-4300 Fax: 941-244-4380 |
Jennifer Vo, APRN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 Nokomis Ave S, Venice, FL 34285 Phone: 941-477-4007 Fax: 877-239-7174 |
Candace P Schuierer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 706 The Rialto, Venice, FL 34285 Phone: 941-484-8004 Fax: 941-484-8869 |