| Ms Melissa Marie Clinton, PA-C | |
|
6901 Simmons Loop, Riverview, FL 33578 | |
| (813) 302-8070 | |
| (813) 972-5055 |
| Full Name | Ms Melissa Marie Clinton |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 6901 Simmons Loop, Riverview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013194083 | NPI | - | NPPES |
| 293023400 | Medicaid | FL | |
| Y04EQ | Other | FL | BC/BS |
| P00865655 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9104486 (Florida) | Primary |
| Entity Name | Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
| 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 | 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 |
|---|---|
| Ms Melissa Marie Clinton, PA-C 2502 W St. Isabel St., Tampa, FL 33607 Ph: (813) 874-5707 | Ms Melissa Marie Clinton, PA-C 6901 Simmons Loop, Riverview, FL 33578 Ph: (813) 302-8070 |
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 |
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 |
Brandy E Dumas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10924 Bloomingdale Ave, Riverview, FL 33578 Phone: 813-571-1111 Fax: 813-571-1120 |