| Regina D Pruitt, PA-C | |
|
5717 21st Ave W, Bradenton, FL 34209 | |
| (941) 792-8383 | |
| (941) 792-8484 |
| Full Name | Regina D Pruitt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 5717 21st Ave W, Bradenton, 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 |
|---|---|---|---|
| 1295940914 | NPI | - | NPPES |
| PA575 | Other | FL | HF MA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group | 3173965993 | 247 |
| Entity Name | St Francis Sleep Allergy and Lung Institute LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164553897 PECOS PAC ID: 6800983420 Enrollment ID: O20071030000164 |
| Entity Name | Health First Privia Medical Group |
|---|---|
| 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 |
|---|---|
| Regina D Pruitt, PA-C 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: Not Available | Regina D Pruitt, PA-C 5717 21st Ave W, Bradenton, FL 34209 Ph: (941) 792-8383 |
Marcie Kroska, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |
Krystina Marian Hadra, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4502 Cortez Rd W Ste 205, Bradenton, FL 34210 Phone: 941-259-8505 Fax: 941-259-8501 |
Mindy Oberley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W Ste 2200, Bradenton, FL 34209 Phone: 941-794-5621 |
Mr. Daniel H Ober, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 75th St W, Bradenton, FL 34209 Phone: 941-761-1616 Fax: 941-761-3807 |
Jamie Lee Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 |
Georgia Ireland, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5318 34th St West, Bradenton, FL 34210 Phone: 941-758-0205 |
Erin N Allendorfer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |