MEDICARE: MICHAEL BERTAGNOLLI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9101818	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427051010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BERTAGNOLLI PA-C

Provider Business Mailing Address
First Line	:	8333 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6050
Country	:	US
Telephone Number	:	850-474-8100
Fax Number	:	850-474-8083

Provider Business Practice Location Address
First Line	:	8333 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6050
Country	:	US
Telephone Number	:	850-474-8300
Fax Number	:	850-474-8654

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	11/10/2011

Similar Medicare Providers

1508658071 — KRISTIN QUINA PA-C
Practice Location Address:

8333 N DAVIS HWY
PENSACOLA, FL
32514-6050

Practice Phone: 850-474-8200
Practice Fax: 850-474-8016

1851394613 — DONALD M DEWEY MD
Practice Location Address:

8333 N DAVIS HWY
PENSACOLA, FL
32514-6050

Practice Phone: 850-474-8300
Practice Fax: 850-474-8654

1932103983 — DR. TODD D PROCHNOW DO
Practice Location Address:

8333 N DAVIS HWY
PENSACOLA, FL
32514-6050

Practice Phone: 850-474-8300
Practice Fax: 504-748-6548

1578561197 — DR. MICHAEL PHILLIP ZELIG MD
Practice Location Address:

8333 N DAVIS HWY , WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL
32514-6050

Practice Phone: 850-474-8000
Practice Fax:

1669473633 — DR. STEVEN RAY LENGA MD
Practice Location Address:

8333 N DAVIS HWY
PENSACOLA, FL
32514-6050

Practice Phone: 850-474-8385
Practice Fax: 850-969-2917

1679567697 — DR. JEFFREY BRIAN COMITALO M.D.
Practice Location Address:

8333 N DAVIS HWY , 5TH FLOOR
PENSACOLA, FL
32514-6050

Practice Phone: 850-474-8342
Practice Fax: 850-969-2886

Directions to “ MICHAEL BERTAGNOLLI PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.