Carly Tanner, PA in Tampa, FL - Medicare Physician Assistant

Carly Tanner, PA is a medicare enrolled "Physician Assistant" in Tampa, Florida. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Leavitt Medical Associates Of Florida Inc and her current practice location is 2835 W De Leon St Ste 103, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 875-7333.

Carly Tanner is licensed to practice in Florida (license number PA9105781) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033416565.

Contact Information

	Carly Tanner, PA
	2835 W De Leon St Ste 103, Tampa, FL 33609-4130
	(813) 875-7333
	(813) 875-8833

Map and Direction

Provider's Profile

Full Name	Carly Tanner
Gender	Female
Speciality	Physician Assistant
Experience	14 Years
Location	2835 W De Leon St Ste 103, Tampa, 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.

Medical Education and Training:

Carly Tanner graduated from nursing school in 2010

NPI Data:

NPI Number: 1033416565
Provider Enumeration Date: 02/18/2011
Last Update Date: 07/09/2019

Medicare PECOS Information:

PECOS PAC ID: 1254519846
Enrollment ID: I20110630000261

Medical Identifiers

Medical identifiers for Carly Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033416565	NPI	-	NPPES
004349100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9105781 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Leavitt Medical Associates Of Florida Inc	4688579311	173

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Tanner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carly Tanner, PA 151 Southhall Ln, Ste 300, Maitland, FL 32751-7176 Ph: (407) 875-2080	Carly Tanner, PA 2835 W De Leon St Ste 103, Tampa, FL 33609-4130 Ph: (813) 875-7333

Reviews and Comments

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Carly Tanner, PA - Medicare Physician Assistant in Tampa, FL