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Primary Practice Address
4502 CORTEZ RD W STE 205
BRADENTON, FL 34210-3124 US
PECOS Enrolled

Krystina Marian Hadra

Physician Assistant


Overview

Krystina Marian Hadra is a Physician Assistant in the BRADENTON area and has over 11 years of experience. Krystina Marian Hadra primary office location is at 4502 CORTEZ RD W STE 205 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2013 The NPI number is 1013353960 and the information was updated approximately 4 years ago.

Krystina Marian Hadra is affiliated with one medical group in the BRADENTON area, FLORIDA MEDICAL SPECIALISTS LLC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
4502 CORTEZ RD W STE 205
BRADENTON, FL 34210-3124 US
Phone: (941)-259-8505
Fax:
Practice Mailing Information
PO BOX 25487
SARASOTA, FL 34210-3124 US
Phone: (941)-202-5342
Fax: (855)-253-4836

Practice Location Addresses: 2


No Licenses found

Type/IssuerIdentifierState
BCBSY0Q91FL
MEDICAID016921400FL

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20150312000942
PECOS Individual PAC ID:3779724448
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes