Kylie Jo Wood Fontoura, PA-C is a medicare enrolled "Physician Assistant" physician in Temple Terrace, Florida. Her current practice location is
13067 N Telecom Pkwy, Temple Terrace, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 779-6303.
Kylie Jo Wood Fontoura is licensed to practice in Florida (license number PA9109711) 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 1841541182.
Physician's Profile
Full Name | Kylie Jo Wood Fontoura |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 13067 N Telecom Pkwy, Temple Terrace, 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: 1841541182
- Provider Enumeration Date: 09/26/2012
- Last Update Date: 03/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183875107
- Enrollment ID: I20170629002210
Medical Identifiers
Medical identifiers for Kylie Jo Wood Fontoura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841541182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | PA9109711 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9109711 (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. Kylie Jo Wood Fontoura 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 |
Kylie Jo Wood Fontoura, PA-C 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 Ph: (813) 779-6303 | Kylie Jo Wood Fontoura, PA-C 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 Ph: (813) 779-6303 |
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