Carol L Takis, PA C is a medicare enrolled "Physician Assistant" physician in Clermont, Florida. Her current practice location is
1135 Lake Ave, Clermont, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 394-4035.
Carol L Takis is licensed to practice in Florida (license number PA9103292) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922178706.
Physician's Profile
Full Name | Carol L Takis |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1135 Lake Ave, Clermont, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922178706
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 04/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678502747
- Enrollment ID: I20050809000557
Medical Identifiers
Medical identifiers for Carol L Takis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922178706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA9103292 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9103292 (Florida) | Primary |
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. Carol L Takis 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 |
Carol L Takis, PA C Po Box 121009, Clermont, FL 34712 Ph: (352) 394-4035 | Carol L Takis, PA C 1135 Lake Ave, Clermont, FL 34711 Ph: (352) 394-4035 |
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