| Nicholas T Taylor, PA-C | |
|
17154 Se 109th Terrace Rd, Summerfield, FL 34491-9017 | |
| (352) 478-0010 | |
| Not Available |
| Full Name | Nicholas T Taylor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 17154 Se 109th Terrace Rd, Summerfield, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972349884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9118824 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cerebrum Healthcare Llc | 8729341847 | 19 |
| Entity Name | Cerebrum Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255849055 PECOS PAC ID: 8729341847 Enrollment ID: O20231019000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas T Taylor, PA-C 17154 Se 109th Terrace Rd, Summerfield, FL 34491-9017 Ph: Not Available | Nicholas T Taylor, PA-C 17154 Se 109th Terrace Rd, Summerfield, FL 34491-9017 Ph: (352) 478-0010 |
Sheila R Dickerman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 17136 Se 109th Terrace Rd Ste 4, Summerfield, FL 34491 Phone: 352-320-6154 |
Noreen Burch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17270 Se 109th Terrace Rd, Summerfield, FL 34491 Phone: 352-633-7222 Fax: 352-633-7205 |
Mr. Leon Martin Bard, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 17820 Se 109th Ave Ste 108, Summerfield, FL 34491 Phone: 352-693-2340 |
Carla Renee Bailey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10973 Se 175th Pl Ste 100, Summerfield, FL 34491 Phone: 352-259-6553 Fax: 352-873-9397 |
Tiffani Masar, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491 Phone: 352-307-9925 |
Marissa Rae Reit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10770 Se 173rd St, Summerfield, FL 34491 Phone: 352-435-7321 |
Kristen Marie Teel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17270 Se 109th Terrace Rd, Summerfield, FL 34491 Phone: 352-633-7222 |