| Sarah M Souza, PA-C | |
|
12470 Telecom Dr Ste 100, Temple Terrace, FL 33637 | |
| (813) 779-6303 | |
| (888) 977-1998 |
| Full Name | Sarah M Souza |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 12470 Telecom Dr Ste 100, Temple Terrace, 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 |
|---|---|---|---|
| 1033161971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9103015 (Florida) | Primary |
| 208M00000X | Hospitalist | PA9103015 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Southern Maryland Hospital Center | Clinton, MD | Hospital |
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah M Souza, PA-C 12470 Telecom Dr Ste 100, Temple Terrace, FL 33637-0904 Ph: (813) 779-6303 | Sarah M Souza, PA-C 12470 Telecom Dr Ste 100, Temple Terrace, FL 33637 Ph: (813) 779-6303 |
Shane Michael Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617 Phone: 813-978-9700 Fax: 813-558-6185 |
Georgina R Crago, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |
Leticia S Worsham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |
Nicole R Ploger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6187 |
Nathan Bevan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6186 |
Shannon Rose Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6185 |
Kristin D. Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11420 N 56th St, Temple Terrace, FL 33617 Phone: 813-915-5459 |