| Nathan Bevan, PA | |
|
13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | |
| (813) 978-9700 | |
| (813) 558-6186 |
| Full Name | Nathan Bevan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 13020 N Telecom Pkwy, Temple Terrace, 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 |
|---|---|---|---|
| 1023441763 | NPI | - | NPPES |
| 009415900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107351 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastline Emergency Physicians Llc | 2466633821 | 18 |
| Entity Name | Coastline Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744769 PECOS PAC ID: 2466633821 Enrollment ID: O20110218000441 |
| Entity Name | Emergency Medical Associates of Tampa Bay LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
| Entity Name | Observation Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Bevan, PA 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700 | Nathan Bevan, PA 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700 |
Shane Michael Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617 Phone: 813-978-9700 Fax: 813-558-6185 |
Georgina R Crago, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |
Leticia S Worsham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |
Nicole R Ploger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6187 |
Shannon Rose Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6185 |
Kristin D. Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11420 N 56th St, Temple Terrace, FL 33617 Phone: 813-915-5459 |
Miss Lakeisha L Porter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |