| Michael Lorne Sussman, PA-C | |
|
10150 Highland Manor Dr Ste 205, Tampa, FL 33610-9727 | |
| (813) 259-1013 | |
| (813) 254-0396 |
| Full Name | Michael Lorne Sussman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 10150 Highland Manor Dr Ste 205, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861820599 | NPI | - | NPPES |
| PA.0007710 | Other | CO | PHYSICIAN ASSISTANT |
| Entity Name | Bluestone Physician Services Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346212370 PECOS PAC ID: 9739086257 Enrollment ID: O20031215000108 |
| Entity Name | Tampa Bay Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
| Entity Name | Tampa Bay Emergency Physicians-heartland LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043661408 PECOS PAC ID: 0749577781 Enrollment ID: O20160920000442 |
| Entity Name | Dispatchhealth-florida Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407472723 PECOS PAC ID: 2668899220 Enrollment ID: O20200827000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lorne Sussman, PA-C 10150 Highland Manor Dr Ste 205, Tampa, FL 33610-9727 Ph: (813) 259-1013 | Michael Lorne Sussman, PA-C 10150 Highland Manor Dr Ste 205, Tampa, FL 33610-9727 Ph: (813) 259-1013 |
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 |
Frances Ivelisse Bernardo Mercado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |
Maheen Rahim Jussab Ismail, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506 |