| Raven Alexys Coe, MPAS, PA-C | |
|
4018 Highview Rd, Seffner, FL 33584-5202 | |
| (813) 651-4100 | |
| Not Available |
| Full Name | Raven Alexys Coe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 4018 Highview Rd, Seffner, 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 |
|---|---|---|---|
| 1639814577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAT9115879 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Tampa | Tampa, FL | Hospital |
| Adventhealth Zephyrhills | Zephyrhills, FL | Hospital |
| Adventhealth Wesley Chapel | Wesley chapel, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Transitional Pain And Specialty Group | 4880070556 | 19 |
| Advanced Pain Management Inc | 0547350068 | 15 |
| Entity Name | Advanced Pain Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740385350 PECOS PAC ID: 0547350068 Enrollment ID: O20071220000099 |
| Entity Name | Professional Urgent Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407283468 PECOS PAC ID: 2961628615 Enrollment ID: O20140801000923 |
| Entity Name | Transitional Pain & Specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205569233 PECOS PAC ID: 4880070556 Enrollment ID: O20221004000276 |
| Entity Name | Smart ER Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710615232 PECOS PAC ID: 0345614871 Enrollment ID: O20230323000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Alexys Coe, MPAS, PA-C 222 Sw Lincoln Cir N, St Petersburg, FL 33703-1311 Ph: (954) 599-5379 | Raven Alexys Coe, MPAS, PA-C 4018 Highview Rd, Seffner, FL 33584-5202 Ph: (813) 651-4100 |