| Corey Dedmon, | |
|
4923 Patagonia Pl, Land O Lakes, FL 34638-3733 | |
| (813) 862-8341 | |
| Not Available |
| Full Name | Corey Dedmon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 4923 Patagonia Pl, Land O Lakes, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164151197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11020067 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| All American Urgent Care Llc | 2466764832 | 11 |
| Entity Name | Tampa Bay Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
| Entity Name | Tampa Bay Emergency Physicians-heartland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043661408 PECOS PAC ID: 0749577781 Enrollment ID: O20160920000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Dedmon, 4923 Patagonia Pl, Land O Lakes, FL 34638-3733 Ph: (813) 862-8341 | Corey Dedmon, 4923 Patagonia Pl, Land O Lakes, FL 34638-3733 Ph: (813) 862-8341 |
Mrs. Jessilyn Emma Perez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3742 Tristram Loop, Land O Lakes, FL 34638 Phone: 813-453-8258 | |
Ailyn Arias Quijano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7040 Land O Lakes Blvd Ste 103-104, Land O Lakes, FL 34638 Phone: 813-803-7907 | |
Lacey Nixon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5904 Desert Peace Ave, Land O Lakes, FL 34639 Phone: 813-766-3950 | |
Mrs. Holly Marie Boyd, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638 Phone: 813-949-2950 Fax: 813-949-2924 | |
Alon Padraig Corrigan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22150 Bell Harbor Dr, Land O Lakes, FL 34639 Phone: 813-395-4596 | |
Erin Balthazar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7842 Land O Lakes Blvd, Land O Lakes, FL 34638 Phone: 813-551-2830 | |
Brian Goldich, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4111 Land O Lakes Blvd, Land O Lakes, FL 34639 Phone: 813-929-2750 |