| Nicole Anna Fore, PA | |
|
819 Cypress Village Blvd, Sun City Center, FL 33573-6834 | |
| (716) 712-0851 | |
| Not Available |
| Full Name | Nicole Anna Fore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 819 Cypress Village Blvd, Sun City Center, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881170686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9118175 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | 022161-1 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baycare Home Care Inc | Lakeland, FL | Home health agency |
| Hca Florida South Shore Hospital | Sun city center, FL | Hospital |
| Adventhealth Tampa | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthy Home Primary Care Llc | 6204213614 | 7 |
| Entity Name | Healthy Home Primary Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164183869 PECOS PAC ID: 6204213614 Enrollment ID: O20220524000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Anna Fore, PA 819 Cypress Village Blvd, Sun City Center, FL 33573-6834 Ph: Not Available | Nicole Anna Fore, PA 819 Cypress Village Blvd, Sun City Center, FL 33573-6834 Ph: (716) 712-0851 |
Mr. Mitchell Costin Mcdowell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4016 State Road 674, Sun City Center, FL 33573 Phone: 813-634-3301 |
Jennifer Lynn Horkan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 |
Mr. Mark R Winer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-634-2733 Fax: 813-634-8606 |
Mr. John J Mahany Jr., PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 Fax: 813-642-0367 |
Eduardo Manuel Vazquez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 |
Leslee E Baute, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4002 Sun City Center Blvd, Unit 102, Sun City Center, FL 33573 Phone: 813-634-1455 Fax: 813-642-8355 |
Stefan Trimarco, PA0C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Commercial Center Dr, Sun City Center, FL 33573 Phone: 941-504-4210 |