| Ismary Chacon, PA-C | |
|
301 Ne 167th St, N Miami Beach, FL 33162-2304 | |
| (305) 940-0522 | |
| (305) 653-1138 |
| Full Name | Ismary Chacon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 301 Ne 167th St, N Miami Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942626155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9107555 (Florida) | Primary |
| Entity Name | South Miami Criticare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306878210 PECOS PAC ID: 5092629808 Enrollment ID: O20031117000334 |
| Entity Name | Emergent Physicians of Country Walk LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114497005 PECOS PAC ID: 4688916091 Enrollment ID: O20190506001701 |
| Entity Name | Emergent Physicians of Doral LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245909449 PECOS PAC ID: 5193113223 Enrollment ID: O20211022000871 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Entity Name | Emergent Physicians of Miami Lakes LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730901018 PECOS PAC ID: 9739617010 Enrollment ID: O20250114003596 |
| Entity Name | Emergent Physicians of West Dade, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275200537 PECOS PAC ID: 8921511353 Enrollment ID: O20250630002388 |
| Entity Name | Emergent Physicians of Palmetto Bay LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639991912 PECOS PAC ID: 1355832155 Enrollment ID: O20251119000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Ismary Chacon, PA-C 1558 Nw 159th Ave, Pembroke Pines, FL 33028-1696 Ph: Not Available | Ismary Chacon, PA-C 301 Ne 167th St, N Miami Beach, FL 33162-2304 Ph: (305) 940-0522 |
Mrs. Leandra R Monroe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 909 N Miami Beach Blvd, Suite 503, N Miami Beach, FL 33162 Phone: 305-944-8887 Fax: 305-944-8440 |