| Keely M Staten, PA-C | |
|
525 N Dacie Pt, Lecanto, FL 34461-8399 | |
| (813) 321-1786 | |
| (813) 321-1787 |
| Full Name | Keely M Staten |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 525 N Dacie Pt, Lecanto, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649758004 | NPI | - | NPPES |
| 106795900 | Medicaid | FL | |
| PA00357 | Other | MS | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112684 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keely M Staten, PA-C 4651 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 321-1786 | Keely M Staten, PA-C 525 N Dacie Pt, Lecanto, FL 34461-8399 Ph: (813) 321-1786 |
Melanie Davies, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Kendel Vickers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Mr. Brian Keith Bonomo, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Shelby Miller Jenkins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Matthew Witt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 | |
Angela White Kelley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-6888 | |
Tamra Renae Assumpcao, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 |