| Nicholle C Rothengass, PA-C | |
|
2254 Highway A1a, Indian Harbour Beach, FL 32937-4922 | |
| (813) 786-2691 | |
| (321) 779-7425 |
| Full Name | Nicholle C Rothengass |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 2254 Highway A1a, Indian Harbour Beach, 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 |
|---|---|---|---|
| 1588138663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9111908 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantis Urgent Care Llc | 6305895111 | 9 |
| Virgin Islands Ear Nose And Throat Pc | 2365521655 | 3 |
| Prohealth Urgent Care Llc | 4385074160 | 8 |
| Entity Name | D Badolato PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659316941 PECOS PAC ID: 1557322286 Enrollment ID: O20041027000662 |
| Entity Name | Atlantis Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821280579 PECOS PAC ID: 6305895111 Enrollment ID: O20050119000870 |
| Entity Name | Practitioners in Motion PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447637582 PECOS PAC ID: 9335456755 Enrollment ID: O20150917001776 |
| Entity Name | Space Coast Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396405718 PECOS PAC ID: 6901282227 Enrollment ID: O20221010001962 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholle C Rothengass, PA-C 1029 Park Dr Apt 27, Indian Harbour Beach, FL 32937-3638 Ph: (813) 786-2691 | Nicholle C Rothengass, PA-C 2254 Highway A1a, Indian Harbour Beach, FL 32937-4922 Ph: (813) 786-2691 |
Frederick Scott Biggs, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2254 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 321-777-2273 Fax: 321-779-7425 |
Nicole Kristine Trio, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 Indian Harbour Ct, Indian Harbour Beach, FL 32937 Phone: 321-271-1249 |
Kristen Hoffower, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 890 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937 Phone: 321-459-4855 |
Corey Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 229 Shore Ln, Indian Harbour Beach, FL 32937 Phone: 321-848-1784 |
Kimberly J Prough, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2254 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 321-777-2273 Fax: 321-779-7425 |