| Dr Camilla Ruth Chacon, DNP, APRN, FNP-BC | |
|
1707 E Bearss Ave, Tampa, FL 33613-2450 | |
| (813) 550-0000 | |
| (813) 800-9555 |
| Full Name | Dr Camilla Ruth Chacon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1707 E Bearss Ave, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235783218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11003378 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Verimed Health Group Riverview Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912326851 PECOS PAC ID: 4981820768 Enrollment ID: O20140731001327 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Camilla Ruth Chacon, DNP, APRN, FNP-BC 1707 E Bearss Ave, Tampa, FL 33613-2450 Ph: (813) 550-0000 | Dr Camilla Ruth Chacon, DNP, APRN, FNP-BC 1707 E Bearss Ave, Tampa, FL 33613-2450 Ph: (813) 550-0000 |
Charmaine Henry, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808 | |
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000 | |
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511 | |
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230 | |
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401 | |
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631 |