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Annette Weis-Mcnulty

Radiology

Allopathic & Osteopathic Physicians

6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655

PECOS Enrollment

Based on the most recent information from CMS, provider Annette Weis-Mcnulty is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:50 PM.

Profile Details

Provider ID
1598928582
Provider Type
Individual
Full Name
Weis-Mcnulty, Annette
Credential
MD PHD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/9/2008
Last Updated
10/20/2011

Contact Information

Practice Location

6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655

(727) 381-0275

Unlisted Fax

Mailing Location

6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License ME109353 Florida

Annette Weis-Mcnulty

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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