| Tonya Lynn Succio, APRN | |
|
12196 County Road 512, Fellsmere, FL 32948-5463 | |
| (772) 257-8224 | |
| (772) 213-3157 |
| Full Name | Tonya Lynn Succio |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 12196 County Road 512, Fellsmere, 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 |
|---|---|---|---|
| 1902314479 | NPI | - | NPPES |
| APRN9203788 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN9203788 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Treasure Coast Community Health Inc | 4082625827 | 24 |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Entity Name | Treasure Coast Community Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891740916 PECOS PAC ID: 4082625827 Enrollment ID: O20130401000508 |
| Entity Name | Balanced Wellbeing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
| Entity Name | Coastal Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689231110 PECOS PAC ID: 3678801644 Enrollment ID: O20190829000196 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Lynn Succio, APRN 1555 Indian River Blvd Ste B210, Vero Beach, FL 32960-7113 Ph: (772) 257-8224 | Tonya Lynn Succio, APRN 12196 County Road 512, Fellsmere, FL 32948-5463 Ph: (772) 257-8224 |
Regina Therese Larkin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-252-3245 | |
Ms. Noelle Klawon Riesen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-252-3245 | |
Sonia Redio Rondon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 |