| Tammy Jo Leggett, | |
|
826 N Wild Olive Ave, Daytona Beach, FL 32118-3727 | |
| (828) 292-4987 | |
| (386) 226-5139 |
| Full Name | Tammy Jo Leggett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 826 N Wild Olive Ave, Daytona Beach, 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 |
|---|---|---|---|
| 1871066373 | NPI | - | NPPES |
| 2018087129 | Other | ANCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 000000000 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primecare Acquisition Family Practice Inc | 5799116315 | 2 |
| Entity Name | Primecare At Twin Lakes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902809122 PECOS PAC ID: 3072591924 Enrollment ID: O20040708000867 |
| Entity Name | Primecare Acquisition Family Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003452681 PECOS PAC ID: 5799116315 Enrollment ID: O20200515000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Jo Leggett, 826 N Wild Olive Ave, Daytona Beach, FL 32118-3727 Ph: (828) 292-4987 | Tammy Jo Leggett, 826 N Wild Olive Ave, Daytona Beach, FL 32118-3727 Ph: (828) 292-4987 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Debra Dowell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-486-1253 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Lyne E Homeus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Souad Omri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-615-0900 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 |