| Stacy Sprehe, PA | |
|
7529 Medical Dr, Hudson, FL 34667-6502 | |
| (727) 862-6524 | |
| (727) 862-6439 |
| Full Name | Stacy Sprehe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7529 Medical Dr, Hudson, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780003913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Florida) | Primary |
| Entity Name | SK Raman PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719405 PECOS PAC ID: 9335316819 Enrollment ID: O20120124000840 |
| Entity Name | Florida Id Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245596964 PECOS PAC ID: 4587817416 Enrollment ID: O20121231000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Sprehe, PA 7529 Medical Dr, Hudson, FL 34667-6502 Ph: (727) 862-6524 | Stacy Sprehe, PA 7529 Medical Dr, Hudson, FL 34667-6502 Ph: (727) 862-6524 |
Mr. Stephen Kette, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Joshua Bosley Kiba, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Bernard Scott Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Robert Obenrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Jarron Fevrier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 954-701-7285 |
Rachel Tipton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 |
Ayesha Falak Kietzman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 Phone: 727-605-0252 |