| Shane Michael Anderson, PA-C | |
|
5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 | |
| (813) 978-9700 | |
| (813) 558-6185 |
| Full Name | Shane Michael Anderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 5901 E Fowler Ave Ste 100, Temple Terrace, 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 |
|---|---|---|---|
| 1003509100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Adventhealth Carrollwood | Tampa, FL | Hospital |
| Mease Countryside Hospital | Safety harbor, FL | Hospital |
| St Anthonys Hospital | Saint petersburg, FL | Hospital |
| Adventhealth North Pinellas | Tarpon springs, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tallahassee Orthopedic Clinic Iii Pl | 4284532755 | 538 |
| Entity Name | Musculoskeletal Institute Chartered |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386639920 PECOS PAC ID: 1052224102 Enrollment ID: O20031106000215 |
| Entity Name | Tallahassee Orthopedic Clinic III Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194778050 PECOS PAC ID: 4284532755 Enrollment ID: O20031222000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Michael Anderson, PA-C 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 Ph: Not Available | Shane Michael Anderson, PA-C 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 Ph: (813) 978-9700 |
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 |
Miss Lakeisha L Porter, PA-C 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 |