| Amy Nguyen, | |
|
4321 N Macdill Ave Ste 407, Tampa, FL 33607-6396 | |
| (813) 554-8690 | |
| (813) 605-6068 |
| Full Name | Amy Nguyen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 4321 N Macdill Ave Ste 407, 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 |
|---|---|---|---|
| 1033855127 | NPI | - | NPPES |
| 115046600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9115949 (Florida) | Primary |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Nguyen, 4321 N Macdill Ave Ste 407, Tampa, FL 33607-6396 Ph: (813) 554-8690 | Amy Nguyen, 4321 N Macdill Ave Ste 407, Tampa, FL 33607-6396 Ph: (813) 554-8690 |
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 |
Frances Ivelisse Bernardo Mercado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |
Maheen Rahim Jussab Ismail, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506 |