Devora Dionne Fedrick, in Tampa, FL - Medicare Nurse Practitioner

Devora Dionne Fedrick, is a medicare enrolled "Physician Assistant" in Tampa, Florida. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc, Tampa General Medical Group Inc and her current practice location is 12902 Usf Magnolia Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 745-4673.

Devora Dionne Fedrick is licensed to practice in Florida (license number APRN11017806) 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 1699251959.

Contact Information

	Devora Dionne Fedrick,
	12902 Usf Magnolia Dr, Tampa, FL 33612-9416
	(813) 745-4673
	Not Available

Map and Direction

Provider's Profile

Full Name	Devora Dionne Fedrick
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	12902 Usf Magnolia Dr, 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:

Devora Dionne Fedrick graduated from nursing school in 2018

NPI Data:

NPI Number: 1699251959
Provider Enumeration Date: 07/19/2018
Last Update Date: 04/21/2026

Medicare PECOS Information:

PECOS PAC ID: 4688925068
Enrollment ID: I20180925000004

Medical Identifiers

Medical identifiers for Devora Dionne Fedrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699251959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	APRN11017806 (Florida)	Primary
363LP2300X	Nurse Practitioner - Primary Care	ARNP9411595 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc	2264337021	1116
Tampa General Medical Group Inc	7416253828	351

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Devora Dionne Fedrick allows following entities to bill medicare on her behalf.

Entity Name	Florida Cancer Specialists & Research Institute, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091

Entity Name	Tampa General Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525

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. Devora Dionne Fedrick 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
Devora Dionne Fedrick, Po Box 198441, Atlanta, GA 30384-8441 Ph: (813) 745-4673	Devora Dionne Fedrick, 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-4673

Reviews and Comments

Physician Assistant Nurses in Tampa, FL

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: Not Enrolled in Medicare 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

Devora Dionne Fedrick, - Medicare Nurse Practitioner in Tampa, FL