Mr Kevin K Carlisle, PA in Tampa, FL - Medicare Physician Assistant

Mr Kevin K Carlisle, PA is a medicare enrolled "Physician Assistant - Surgical" in Tampa, Florida. He graduated from nursing school in 1980 and has 44 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Qss-southeast Clinical Services Llc and his current practice location is 12880 Commodity Pl, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 343-5500.

Mr Kevin K Carlisle is licensed to practice in Florida (license number PA1682) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669467833.

Contact Information

	Mr Kevin K Carlisle, PA
	12880 Commodity Pl, Tampa, FL 33626-3101
	(813) 343-5500
	(866) 462-7445

Map and Direction

Provider's Profile

Full Name	Mr Kevin K Carlisle
Gender	Male
Speciality	Physician Assistant
Experience	44 Years
Location	12880 Commodity Pl, Tampa, 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.

Medical Education and Training:

Mr Kevin K Carlisle graduated from nursing school in 1980

NPI Data:

NPI Number: 1669467833
Provider Enumeration Date: 09/14/2005
Last Update Date: 10/29/2013

Medicare PECOS Information:

PECOS PAC ID: 2769477785
Enrollment ID: I20040419001106

Medical Identifiers

Medical identifiers for Mr Kevin K Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669467833	NPI	-	NPPES
650420578	Other	FL	CHAMPUS/TRICARE
X1592	Other	FL	BLUE CROSS BLUE SHIELD
290188900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA1682 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Regional Medical Center	Lakeland, FL	Hospital

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. Mr Kevin K Carlisle 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
Mr Kevin K Carlisle, PA Po Box 21686, Tampa, FL 33622-1686 Ph: (813) 343-5500	Mr Kevin K Carlisle, PA 12880 Commodity Pl, Tampa, FL 33626-3101 Ph: (813) 343-5500

Reviews and Comments

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Mr Kevin K Carlisle, PA - Medicare Physician Assistant in Tampa, FL