| Tara Rene Dixon, ARNP-C | |
|
20205 Cortez Blvd Unit A, Brooksville, FL 34601-3847 | |
| (352) 796-5303 | |
| (352) 796-5304 |
| Full Name | Tara Rene Dixon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 20205 Cortez Blvd Unit A, Brooksville, 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 |
|---|---|---|---|
| 1194171892 | NPI | - | NPPES |
| 019157600 | Medicaid | FL | |
| 1AABR | Other | FL | FLORIDA BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9310040 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9310040 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Millennium Physician Group Llc | 9830244433 | 866 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Rene Dixon, ARNP-C 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Tara Rene Dixon, ARNP-C 20205 Cortez Blvd Unit A, Brooksville, FL 34601-3847 Ph: (352) 796-5303 |
Anastasia Sophia Tzobanakis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10475 Flycatcher Rd, Brooksville, FL 34613 Phone: 352-263-1068 | |
Kristen Costa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Jacqueline Hemstreet, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12220 Cortez Blvd, Brooksville, FL 34613 Phone: 352-556-5216 | |
Latoya S Williams, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11371 Cortez Blvd Ste 210, Brooksville, FL 34613 Phone: 239-690-6906 | |
Mrs. Mackenzie Rose Rich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12190 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-1206 Fax: 352-597-1208 | |
Leslie Carol Flynt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14540 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-8287 | |
Ms. Donna Marie Ribbons, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12017 Cortez Blvd, Brooksville, FL 34613 Phone: 352-799-6700 Fax: 352-799-6722 |