| Ashley L Tavalaiccio, AA | |
|
3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | |
| (813) 350-7244 | |
| (813) 350-7246 |
| Full Name | Ashley L Tavalaiccio |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194158295 | NPI | - | NPPES |
| 010194900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA171 (Florida) | Primary |
| Entity Name | Orange Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902261761 PECOS PAC ID: 1951606680 Enrollment ID: O20160218000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley L Tavalaiccio, AA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Ashley L Tavalaiccio, AA 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 Ph: (813) 350-7244 |
Mrs. Kayla Edmonds, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 | |
Ms. Julia Chung, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Jeffrey Glenn Hess, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Brighu Kumar, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: American Anesthesiology Associates Of Florida, Inc, 300 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Ms. Mackensie Ligon, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Mrs. Kristen Monique Siefring, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Marya Caroline Williamson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 |