Bluestone Physician Services Southeast Llc - Medicare Primary Care in Tampa, FL

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Bluestone Physician Services Southeast Llc is a medicare enrolled primary clinic (Family Medicine) in Tampa, Florida. The current practice location for Bluestone Physician Services Southeast Llc is 10150 Highland Manor Dr Ste 205, Tampa, Florida. For appointments, you can reach them via phone at (813) 259-1013. The mailing address for Bluestone Physician Services Southeast Llc is 10150 Highland Manor Dr Ste 205, Tampa, Florida and phone number is (813) 259-1013.

Bluestone Physician Services Southeast Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1346212370. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (813) 259-1013.

Contact Information

Bluestone Physician Services Southeast Llc
10150 Highland Manor Dr Ste 205
Tampa
FL 33610-9727
(813) 259-1013
(813) 254-0396

Map and Direction


Primary Care Clinic Profile

Full NameBluestone Physician Services Southeast Llc
SpecialityFamily Medicine
Location10150 Highland Manor Dr Ste 205, Tampa, Florida
Authorized Official Name and PositionDiana Bernard (OFFICE MANAGER)
Authorized Official Contact8132591013
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bluestone Physician Services Southeast Llc
10150 Highland Manor Dr Ste 205
Tampa
FL 33610-9727

Ph: (813) 259-1013		Bluestone Physician Services Southeast Llc
10150 Highland Manor Dr Ste 205
Tampa
FL 33610-9727

Ph: (813) 259-1013

NPI Details:

NPI Number1346212370
Provider Enumeration Date02/03/2006
Last Update Date02/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9739086257
Medicare Enrollment IDO20031215000108

Medical Identifiers

Medical identifiers for Bluestone Physician Services Southeast Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346212370NPI-NPPES
015006200MedicaidFL
34388OtherFLBC/BS
CK5239OtherFLRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bluestone Physician Services Southeast Llc acts as a billing entity for following providers:
Provider NameJamie Dilorenzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053437855
PECOS PAC ID: 4880597640
Enrollment ID: I20040129000274
Provider NameRachel Ann Cascio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508820515
PECOS PAC ID: 4284790957
Enrollment ID: I20090304000392
Provider NameLaura Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245461466
PECOS PAC ID: 7113064775
Enrollment ID: I20091030000208
Provider NameChristine Lee Hightower
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932496841
PECOS PAC ID: 5496924094
Enrollment ID: I20110817000247
Provider NameTeresa L Passalacqua
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679915854
PECOS PAC ID: 1254575426
Enrollment ID: I20130910000825
Provider NameMeagan Ann Ducharme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881068310
PECOS PAC ID: 8921302183
Enrollment ID: I20160323001349
Provider NameKandi Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881133940
PECOS PAC ID: 5496023558
Enrollment ID: I20170613001914
Provider NameRamon Osorio Figueroa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376735654
PECOS PAC ID: 0042490815
Enrollment ID: I20170707002219
Provider NameJason C Evers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235506387
PECOS PAC ID: 4587913751
Enrollment ID: I20180821002793
Provider NameSydney Kozlowski Belanger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386135945
PECOS PAC ID: 9335491539
Enrollment ID: I20181017000951
Provider NameSebastian Hayatyfar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255891313
PECOS PAC ID: 7416282280
Enrollment ID: I20190716002683
Provider NameAngela Rae Edmondson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740849462
PECOS PAC ID: 8527399773
Enrollment ID: I20191018002521
Provider NameKristen Coles Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396239224
PECOS PAC ID: 8022354935
Enrollment ID: I20210707001849
Provider NamePreston J Hatlestad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851567192
PECOS PAC ID: 3072668748
Enrollment ID: I20220317001515
Provider NameStacie Urbanick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174295000
PECOS PAC ID: 0143611475
Enrollment ID: I20220824003814
Provider NameElsa Lawrence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992319529
PECOS PAC ID: 5698183184
Enrollment ID: I20230822002446
Provider NameAmber Nicoal Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316417892
PECOS PAC ID: 1355764754
Enrollment ID: I20230920003968
Provider NameKelsi Marie Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760295380
PECOS PAC ID: 6507396132
Enrollment ID: I20250211003095
Provider NameMary P Markovic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073319612
PECOS PAC ID: 3072034156
Enrollment ID: I20250305001890

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.