| Ashley S Tanner, PA-C | |
|
10800 Panama City Beach Pkwy Ste 300, Panama City Beach, FL 32407-2532 | |
| (850) 250-5790 | |
| (850) 266-6301 |
| Full Name | Ashley S Tanner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 10800 Panama City Beach Pkwy Ste 300, Panama City Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295380053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9116371 (Florida) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.170966 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 650 |
| Entity Name | Forefront Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154815546 PECOS PAC ID: 3779471701 Enrollment ID: O20181019000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley S Tanner, PA-C 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Ashley S Tanner, PA-C 10800 Panama City Beach Pkwy Ste 300, Panama City Beach, FL 32407-2532 Ph: (850) 250-5790 |
Charli Elizabeth Sullivan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15415 Panama City Beach Pkwy, Panama City Beach, FL 32413 Phone: 850-588-3589 |
Kaitlyn Elizabeth Schultz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1105 Clara Ave Apt 6305, Panama City Beach, FL 32407 Phone: 989-464-7253 |
Kevin Edward Rohan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 N Richard Jackson Blvd Ste 140, Panama City Beach, FL 32407 Phone: 850-532-6168 Fax: 850-532-6568 |
Anna Deutsch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1105 Clara Ave Apt 6203, Panama City Beach, FL 32407 Phone: 404-513-9489 |
Guy Alvin Crawford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11111 Highway 98 East, Panama City Beach, FL 32407 Phone: 850-236-8655 |
Mrs. Tephanie D Soderstrom, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16900 Front Beach Rd, Panama City Beach, FL 32413 Phone: 850-234-1898 Fax: 850-234-7670 |
Mr. William F Shipman Iii, P A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11111 Panama City Beach Pkwy, Panama City Beach, FL 32407 Phone: 850-769-0329 Fax: 850-914-7045 |