| Kayla N Depanicis, PA-C | |
|
6901 Simmons Loop, Riverview, FL 33578-9498 | |
| (813) 874-5707 | |
| Not Available |
| Full Name | Kayla N Depanicis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 6901 Simmons Loop, Riverview, 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 |
|---|---|---|---|
| 1649707027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 08425 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA9112165 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Largo Hospital | Largo, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Emergency Medical Associates of Tampa Bay LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
| Entity Name | Radiology Physician Solutions of West Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20150723008463 |
| Entity Name | Observation Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla N Depanicis, PA-C 2502 W Saint Isabel St, Tampa, FL 33607-6318 Ph: (813) 874-5707 | Kayla N Depanicis, PA-C 6901 Simmons Loop, Riverview, FL 33578-9498 Ph: (813) 874-5707 |
Sana Arif, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9182 Headwaters Ave Unit 308, Riverview, FL 33578 Phone: 954-304-1002 |
Ms. Melissa Marie Clinton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8070 Fax: 813-972-5055 |
Bach Son Le, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13403 Boyette Rd, Riverview, FL 33569 Phone: 813-654-1775 Fax: 813-651-9082 |
Emma Kitayne Greenbaum, MMS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13015 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-879-8045 |
Christ Gao, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13015 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-879-8045 |
Kyle Harden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13127 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-661-6199 |
Samantha Welt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11948 Balm Riverview Rd, Riverview, FL 33569 Phone: 813-656-9553 |