| Mr William Robey Demarse Iii, PA-C | |
|
3100 E Fletcher Ave, Tampa, FL 33613-4613 | |
| (813) 971-6000 | |
| (813) 972-5753 |
| Full Name | Mr William Robey Demarse Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3100 E Fletcher Ave, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881655272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101285 (Florida) | Primary |
| Entity Name | Tampa Bay Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
| Entity Name | Tampa Bay Emergency Physicians-heartland LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043661408 PECOS PAC ID: 0749577781 Enrollment ID: O20160920000442 |
| Entity Name | Ridgewood Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750862694 PECOS PAC ID: 6305199597 Enrollment ID: O20181106001193 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Robey Demarse Iii, PA-C 12479 Telecom Dr, Tampa, FL 33637-0913 Ph: (813) 972-4199 | Mr William Robey Demarse Iii, PA-C 3100 E Fletcher Ave, Tampa, FL 33613-4613 Ph: (813) 971-6000 |
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 |
Frances Ivelisse Bernardo Mercado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |
Kyle Fernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7000 |
Maheen Rahim Jussab Ismail, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 |