Kyle Jonathon Chacon, | |
8140 Picton Way Ste 102, Trinity, FL 34655-1782 | |
(727) 807-6900 | |
(727) 807-6901 |
Full Name | Kyle Jonathon Chacon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 8140 Picton Way Ste 102, Trinity, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457839359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 9368349 (Florida) | Primary |
Entity Name | Ethos Health Daytona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780176263 PECOS PAC ID: 1658610837 Enrollment ID: O20190306000359 |
Entity Name | Ethos Health Lakeland Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013409598 PECOS PAC ID: 1153720750 Enrollment ID: O20210602001643 |
Entity Name | Ethos Health Suncity, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598257081 PECOS PAC ID: 9133528573 Enrollment ID: O20210604001028 |
Entity Name | Ethos Health Tampa 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154813640 PECOS PAC ID: 6002215464 Enrollment ID: O20210604001689 |
Entity Name | Ethos Health Tampa 4 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326530817 PECOS PAC ID: 8628470796 Enrollment ID: O20210712003242 |
Entity Name | Ethos Health Tampa 3, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609368190 PECOS PAC ID: 9830593904 Enrollment ID: O20210811002554 |
Mailing Address | Practice Location Address |
---|---|
Kyle Jonathon Chacon, 8140 Picton Way Ste 102, Trinity, FL 34655-1782 Ph: (727) 807-6900 | Kyle Jonathon Chacon, 8140 Picton Way Ste 102, Trinity, FL 34655-1782 Ph: (727) 807-6900 |
Jerrica Sawyer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3539 Little Rd, Trinity, FL 34655 Phone: 727-846-9419 Fax: 727-816-8707 | |
Rachel Kristen Morin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 | |
Phuong Quyen Thi Dinh-bailey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1818 Short Branch Dr Ste 102, Trinity, FL 34655 Phone: 727-332-0028 | |
Kimberley Kay Drury, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400 | |
Corie L Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1815 Health Care Dr Ste B, Trinity, FL 34655 Phone: 727-312-4445 Fax: 727-312-4643 | |
Ebony Patrice Austin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400 | |
Mrs. Tori Barrilleaux, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 State Road 54, Trinity, FL 34655 Phone: 727-834-4000 |