| Mobile Physician Services Inc. | |
|
6804 Cecelia Dr, New Port Richey, FL 34653-4935 | |
| (727) 232-0644 | |
| (888) 546-0488 |
| Full Name | Mobile Physician Services Inc. |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 6804 Cecelia Dr, New Port Richey, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003002759 | NPI | - | NPPES |
| 128679200 | Medicaid | FL | |
| K9757 | Other | FL | PTAN |
| 0404354 | Medicaid | OH | |
| K9757A | Other | FL | FL PTAN |
| 000MQ | Other | FL | BCBS GROUP |
| 131106800 | Medicaid | FL | |
| MEDICARE NPI | Other | FL | 1003002759 |
| Provider Name | Marc S Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861596058 PECOS PAC ID: 4981685005 Enrollment ID: I20040525001709 |
| Provider Name | William T Trabulsi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538124383 PECOS PAC ID: 9234192279 Enrollment ID: I20041110000438 |
| Provider Name | Richard B Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023103702 PECOS PAC ID: 9830157981 Enrollment ID: I20041222000201 |
| Provider Name | Peter A Radice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356339170 PECOS PAC ID: 4486790011 Enrollment ID: I20091012000403 |
| Provider Name | Charles Livingston Suggs |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1497710172 PECOS PAC ID: 5092853101 Enrollment ID: I20091110000733 |
| Provider Name | Darla Broderick-breit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538133327 PECOS PAC ID: 5991820284 Enrollment ID: I20100909000782 |
| Provider Name | George Dekeles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477855872 PECOS PAC ID: 6002096823 Enrollment ID: I20110211000361 |
| Provider Name | Christi Gagliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205884269 PECOS PAC ID: 6800058231 Enrollment ID: I20120502000019 |
| Provider Name | Adrianne M Ridley Payne |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235355074 PECOS PAC ID: 4284872722 Enrollment ID: I20130523000160 |
| Provider Name | Leonne Moient Deravine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245678119 PECOS PAC ID: 5193967545 Enrollment ID: I20130814000261 |
| Provider Name | Viktoriya Rakita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740613850 PECOS PAC ID: 7214170554 Enrollment ID: I20130905000442 |
| Provider Name | Jennifer R Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609245950 PECOS PAC ID: 2365743747 Enrollment ID: I20151209002727 |
| Provider Name | Sean M Kibria |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114357456 PECOS PAC ID: 1052605649 Enrollment ID: I20160804000748 |
| Provider Name | Astrid Rosa Velez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649584715 PECOS PAC ID: 9638335938 Enrollment ID: I20170106000378 |
| Provider Name | Cheryl L Bonacquisti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114450483 PECOS PAC ID: 1355615345 Enrollment ID: I20170914000248 |
| Provider Name | Fernando Barja |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730521840 PECOS PAC ID: 6709150592 Enrollment ID: I20170918001290 |
| Provider Name | Adriana Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528561081 PECOS PAC ID: 1355604505 Enrollment ID: I20180420002288 |
| Provider Name | Lydia A Hartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093934093 PECOS PAC ID: 7214151273 Enrollment ID: I20180806000143 |
| Provider Name | Kristina Ann Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649817503 PECOS PAC ID: 1456786383 Enrollment ID: I20200122002211 |
| Provider Name | Lori Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548708282 PECOS PAC ID: 8123454758 Enrollment ID: I20200130000912 |
| Provider Name | Krystal R Parmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705318 PECOS PAC ID: 0244584670 Enrollment ID: I20210329001583 |
| Provider Name | Kelli Monnin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003573072 PECOS PAC ID: 0749675775 Enrollment ID: I20220309002584 |
| Provider Name | Gregory B Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699434605 PECOS PAC ID: 6204221849 Enrollment ID: I20220318000415 |
| Provider Name | Heather M Bruneau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376770727 PECOS PAC ID: 4587815246 Enrollment ID: I20220422000411 |
| Provider Name | Tyler John Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760143960 PECOS PAC ID: 1153707534 Enrollment ID: I20221010000133 |
| Provider Name | Tiffany Yolanda Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114628849 PECOS PAC ID: 2769843978 Enrollment ID: I20230804000372 |
| Provider Name | Kia R Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386323160 PECOS PAC ID: 8820451883 Enrollment ID: I20230824001523 |
| Provider Name | Johnny Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144937343 PECOS PAC ID: 8224482724 Enrollment ID: I20231003001371 |
| Provider Name | Desiree Mones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518643311 PECOS PAC ID: 0941656136 Enrollment ID: I20231024003166 |
| Provider Name | Ludonir Sebastiany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104485606 PECOS PAC ID: 1456735380 Enrollment ID: I20231229001153 |
| Provider Name | Junell C Koberlein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982868865 PECOS PAC ID: 9234301193 Enrollment ID: I20240801004478 |
| Provider Name | Kelsey Nicole Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578332789 PECOS PAC ID: 2466984588 Enrollment ID: I20241015000575 |
| Provider Name | Arlyn Olivo Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619714235 PECOS PAC ID: 6406388024 Enrollment ID: I20241021000746 |
| Provider Name | Renee D Dimmick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134927627 PECOS PAC ID: 2961924402 Enrollment ID: I20250313003053 |
| Provider Name | Lauren Pauline Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932924982 PECOS PAC ID: 0749707826 Enrollment ID: I20250512003276 |
| Provider Name | Natalie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942545918 PECOS PAC ID: 6800307190 Enrollment ID: I20250613002424 |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Physician Services Inc. 6804 Cecelia Dr, New Port Richey, FL 34653-4935 Ph: (855) 232-0644 | Mobile Physician Services Inc. 6804 Cecelia Dr, New Port Richey, FL 34653-4935 Ph: (727) 232-0644 |