Mrs Skylar Ann Dial, PA-C is a
Physician Assistant based in Bartow, Florida. Mrs Skylar Ann Dial is licensed to practice in Florida (license number PA9107913) and her current practice location is
2200 Osprey Blvd, Bartow, Florida. She can be reached at her office (for appointments etc.) via phone at
(863) 533-8111.
NPI number for Mrs Skylar Ann Dial is 1174930069 and her current mailing address is 200 Corporate Blvd, Lafayette, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174930069.
Provider's Profile
| Full Name | Mrs Skylar Ann Dial |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2200 Osprey Blvd, Bartow, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174930069
- Provider Enumeration Date: 07/13/2014
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mrs Skylar Ann Dial such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174930069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9107913 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Skylar Ann Dial is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Skylar Ann Dial, PA-C
200 Corporate Blvd,
Lafayette, LA 70508-3870
Ph: (800) 893-9698 | Mrs Skylar Ann Dial, PA-C
2200 Osprey Blvd,
Bartow, FL 33830-3308
Ph: (863) 533-8111 |
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