Colin D Agerton, in Tampa, FL - Medicare Physician Assistant

Colin D Agerton, is a medicare enrolled "Physician Assistant - Medical" in Tampa, Florida. His current practice location is 6117 Gunn Hwy, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 978-9700.

Colin D Agerton is licensed to practice in Florida (license number PA9105738) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245540632.

Contact Information

	Colin D Agerton,
	6117 Gunn Hwy, Tampa, FL 33625-4013
	(813) 978-9700
	(813) 558-6187

Map and Direction

Provider's Profile

Full Name	Colin D Agerton
Gender	Male
Speciality	Physician Assistant - Medical
Location	6117 Gunn Hwy, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245540632
Provider Enumeration Date: 10/19/2010
Last Update Date: 06/29/2015

Medicare PECOS Information:

PECOS PAC ID: 6507052354
Enrollment ID: I20101119000227

Medical Identifiers

Medical identifiers for Colin D Agerton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245540632	NPI	-	NPPES
Y09H3	Other	FL	BCBS
PA9105738	Other	FL	STATE LICENSE
004380300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA9105738 (Florida)	Primary
363AS0400X	Physician Assistant - Surgical	PA9105738 (Florida)	Secondary

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. Colin D Agerton 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
Colin D Agerton, 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700	Colin D Agerton, 6117 Gunn Hwy, Tampa, FL 33625-4013 Ph: (813) 978-9700

Reviews and Comments

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Colin D Agerton, - Medicare Physician Assistant in Tampa, FL