Mr Warren Randall Sumner, PA-C in Tampa, FL - Medicare Physician Assistant

Mr Warren Randall Sumner, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Tampa, Florida. His current practice location is 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 321-6580.

Mr Warren Randall Sumner is licensed to practice in Florida (license number PA9108734) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609866219.

Contact Information

	Mr Warren Randall Sumner, PA-C
	3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307
	(813) 321-6580
	(813) 443-8185

Map and Direction

Provider's Profile

Full Name	Mr Warren Randall Sumner
Gender	Male
Speciality	Physician Assistant - Surgical
Location	3003 W Dr Martin Luther King Jr Blvd, 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: 1609866219
Provider Enumeration Date: 10/25/2005
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 2567361850
Enrollment ID: I20040402000820

Medical Identifiers

Medical identifiers for Mr Warren Randall Sumner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609866219	NPI	-	NPPES
404215	Other	GA	WELLCARE
015768600	Medicaid	FL
100001160D	Medicaid	GA
01067693	Other	GA	AMERIGROUP
P00679501	Other	GA	RR MEDICARE
0155PA	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	003541 (Georgia)	Secondary
363A00000X	Physician Assistant	003541 (Georgia)	Secondary
363AS0400X	Physician Assistant - Surgical	PA9108734 (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. Mr Warren Randall Sumner 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
Mr Warren Randall Sumner, PA-C Po Box 10744, Clearwater, FL 33757-8744 Ph: (727) 532-0002	Mr Warren Randall Sumner, PA-C 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 Ph: (813) 321-6580

Reviews and Comments

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Mr Warren Randall Sumner, PA-C - Medicare Physician Assistant in Tampa, FL