| Darius Taylor, PA-C | |
|
206 2nd St E, Bradenton, FL 34208-1042 | |
| (941) 746-5111 | |
| (941) 745-7233 |
| Full Name | Darius Taylor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 206 2nd St E, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467611137 | NPI | - | NPPES |
| Y06L6 | Other | FL | BCBS |
| 004309200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9104223 (Florida) | Primary |
| Entity Name | Manatee Physician Alliance LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588970446 PECOS PAC ID: 6901095231 Enrollment ID: O20110118000683 |
| Entity Name | Manatee Specialty Physician Alliance LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881304624 PECOS PAC ID: 8921473927 Enrollment ID: O20230405000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Darius Taylor, PA-C 367 S. Gulph Rd, Att Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (775) 356-9393 | Darius Taylor, PA-C 206 2nd St E, Bradenton, FL 34208-1042 Ph: (941) 746-5111 |
Marcie Kroska, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |
Krystina Marian Hadra, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4502 Cortez Rd W Ste 205, Bradenton, FL 34210 Phone: 941-259-8505 Fax: 941-259-8501 |
Mindy Oberley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W Ste 2200, Bradenton, FL 34209 Phone: 941-794-5621 |
Mr. Daniel H Ober, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 75th St W, Bradenton, FL 34209 Phone: 941-761-1616 Fax: 941-761-3807 |
Jamie Lee Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 |
Georgia Ireland, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5318 34th St West, Bradenton, FL 34210 Phone: 941-758-0205 |
Erin N Allendorfer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |