| 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 | 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 |
|---|---|---|---|
| 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 | Clearwater, FL | Home health agency |
| Prohealth Home Health Services Inc | Saint petersburg, FL | Home health agency |
| Keystone Home Health Inc | St petersburg, FL | Home health agency |
| Suncoast Hospice | Palm harbor, 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 | 25 |
| Curana Health Of Florida Llc | 2466823711 | 58 |
| Entity Name | Bluestone Physician Services Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346212370 PECOS PAC ID: 9739086257 Enrollment ID: O20031215000108 |
| Entity Name | Trinity Doctors Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952564726 PECOS PAC ID: 9537220975 Enrollment ID: O20081204000275 |
| Entity Name | Sunshine Health Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710595640 PECOS PAC ID: 5597173328 Enrollment ID: O20210416000035 |
| Entity Name | Curana Health of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013628676 PECOS PAC ID: 2466823711 Enrollment ID: O20230124001428 |
| 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: Accepting Medicare Assignments 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 |