Individual ProviderDennis Joseph PevarskiRadiologyAllopathic & Osteopathic PhysiciansPractice Address6449 38th Ave N, St Petersburg, FL 33710-1655(727) 381-0275PECOS EnrollmentBased on the most recent information from CMS, provider Dennis Joseph Pevarski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1780637249Provider TypeIndividualFull NamePevarski, Dennis JosephCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/18/2006Last Updated3/23/2009Contact InformationPractice LocationPractice Address6449 38th Ave N, St Petersburg, FL 33710-1655Phone(727) 381-0275Fax(727) 345-8025Mailing LocationMailing Address6449 38th Ave N, St Petersburg, FL 33710-1655Phone(727) 381-0275Fax(727) 345-8025Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME70445FloridaProvider IdentifiersIDDescriptionIssuerID252444900DescriptionMedicaidIssuerUnlistedFloridaID990008915DescriptionOtherIssuerRAILROAD MEDICAREID41277DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFlorida