Tampa Bay Services Group Llc is a medicare enrolled "Clinic/center" provider in Tampa, Florida. Their current practice location is
8313 W Hillsborough Ave Ste 110, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at
(813) 382-1172.
Tampa Bay Services Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tampa Bay Services Group Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104418169.
Healthcare Provider's Profile
| Full Name | Tampa Bay Services Group Llc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 8313 W Hillsborough Ave Ste 110, Tampa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104418169
- Provider Enumeration Date: 02/10/2021
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951796598
- Enrollment ID: O20220318000324
Medical Identifiers
Medical identifiers for Tampa Bay Services Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104418169 | NPI | - | NPPES |
| 109675200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Tampa Bay Services Group Llc acts as a billing entity for following providers:
| Provider Name | Evan B Tepper |
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| Provider Type | Practitioner - Pediatric Medicine |
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| Provider Identifiers | NPI Number: 1699717918
PECOS PAC ID: 0648224493
Enrollment ID: I20050304000465 |
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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. Tampa Bay Services Group Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tampa Bay Services Group Llc
8313 W Hillsborough Ave Ste 110,
Tampa, FL 33615-3819
Ph: (813) 382-1172 | Tampa Bay Services Group Llc
8313 W Hillsborough Ave Ste 110,
Tampa, FL 33615-3819
Ph: (813) 382-1172 |
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