Keisha Marie Poleon, PA-C in Tampa, FL - Medicare Physician Assistant

Keisha Marie Poleon, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tampa, Florida. Her current practice location is 2919 W Swann Ave Ste 106, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 930-2829.

Keisha Marie Poleon is licensed to practice in Florida (license number PA9117189) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699478123.

Contact Information

	Keisha Marie Poleon, PA-C
	2919 W Swann Ave Ste 106, Tampa, FL 33609-4049
	(813) 930-2829
	(813) 930-9522

Map and Direction

Provider's Profile

Full Name	Keisha Marie Poleon
Gender	Female
Speciality	Physician Assistant - Medical
Location	2919 W Swann Ave Ste 106, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699478123
Provider Enumeration Date: 03/23/2023
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 0840655981
Enrollment ID: I20230425002188

Medical Identifiers

Medical identifiers for Keisha Marie Poleon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699478123	NPI	-	NPPES
R6341	Other	FL	MEDICARE PTAN
118654700	Medicaid	FL
WN769	Other	FL	FL BLUE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA9117189 (Florida)	Primary

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. Keisha Marie Poleon 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
Keisha Marie Poleon, PA-C 8500 Hunters Village Rd Unit 361, Tampa, FL 33647-3809 Ph: (256) 426-8210	Keisha Marie Poleon, PA-C 2919 W Swann Ave Ste 106, Tampa, FL 33609-4049 Ph: (813) 930-2829

Reviews and Comments

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Keisha Marie Poleon, PA-C - Medicare Physician Assistant in Tampa, FL