Tara P Reynolds, MD | |
3601 Sw 160th Ave Ste 250, Miramar, FL 33027 | |
(877) 866-7123 | |
Not Available |
Full Name | Tara P Reynolds |
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Gender | Female |
Speciality | Family Medicine |
Location | 3601 Sw 160th Ave Ste 250, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588634687 | NPI | - | NPPES |
154104001 | Medicaid | AR | |
1669662615 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | E4035 (Arkansas) | Secondary |
207Q00000X | Family Medicine | ME89097 (Florida) | Primary |
Entity Name | Florida Post Acute Care Clinicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811398811 PECOS PAC ID: 3971820598 Enrollment ID: O20150319001562 |
Mailing Address | Practice Location Address |
---|---|
Tara P Reynolds, MD 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 Ph: (877) 866-7123 | Tara P Reynolds, MD 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 Ph: (877) 866-7123 |
Dr. Toan Huu Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Ste 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Teresa M Elliott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Aletha Cress Oglesby, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Avenue, Suite 250, Miramar, FL 33024 Phone: 877-866-7123 | |
Andrea C. Dory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027 Phone: 305-866-9951 Fax: 877-284-8933 | |
Dr. Liron Beltzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 954-399-4642 Fax: 877-859-8768 | |
Gokhan Guvenli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12600 Pembroke Rd Ste 100, Miramar, FL 33027 Phone: 954-432-5400 Fax: 877-671-4101 | |
Dr. George Steven Siderys, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7723 |