| Simone Taijae Person Fort, PA-C | |
|
10150 Highland Manor Dr Ste 205, Tampa, FL 33610-9727 | |
| (813) 259-1013 | |
| (813) 254-0396 |
| Full Name | Simone Taijae Person Fort |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 10150 Highland Manor Dr Ste 205, Tampa, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134854813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9116104 (Florida) | Primary |
| 363A00000X | Physician Assistant | PA9116104 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mederi Caretenders | Tampa, FL | Home health agency |
| Mederi Caretenders | Pinellas park, FL | Home health agency |
| Keystone Home Health Inc | Clearwater, FL | Home health agency |
| Suncoast Hospice | Clearwater, FL | Hospice |
| Freedom Square Health Care Center | Seminole, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluestone Physician Services Southeast Llc | 9739086257 | 24 |
| Curana Health Of Florida Llc | 2466823711 | 49 |
| Sunshine Health Partners Llc | 5597173328 | 47 |
| Mailing Address | Practice Location Address |
|---|---|
| Simone Taijae Person Fort, PA-C 10150 Highland Manor Dr Ste 205, Tampa, FL 33610-9727 Ph: (813) 259-1013 | Simone Taijae Person Fort, PA-C 10150 Highland Manor Dr Ste 205, Tampa, FL 33610-9727 Ph: (813) 259-1013 |
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396 | |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 | |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 | |
Frances Ivelisse Bernardo Mercado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 | |
Maheen Rahim Jussab Ismail, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 | |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506 |