| Tiffany Noel Carillet, PA | |
|
2107 Dairy Rd, Melbourne, FL 32904-5241 | |
| (321) 956-8224 | |
| (321) 956-8225 |
| Full Name | Tiffany Noel Carillet |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 2107 Dairy Rd, Melbourne, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922172485 | NPI | - | NPPES |
| P00450359 | Other | FL | RRMCA OR MCA PIN |
| 292694600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9102635 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dairy Road Urgent Care Llc | 9133269293 | 7 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Noel Carillet, PA 2107 Dairy Rd, Melbourne, FL 32904-5241 Ph: (321) 956-8224 | Tiffany Noel Carillet, PA 2107 Dairy Rd, Melbourne, FL 32904-5241 Ph: (321) 956-8224 |
Mr. Christian Anthony Staniec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6032 Farcenda Pl, #102, Melbourne, FL 32940 Phone: 321-608-8160 Fax: 321-622-6818 | |
Ms. Sabrina Wu Staples, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3337 Hoofprint Dr, Melbourne, FL 32940 Phone: 321-610-7234 | |
Mr. Patrick Gene Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1494 Avocado Ave, Melbourne, FL 32935 Phone: 321-610-7950 | |
Sara Jane Sengel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940 Phone: 321-253-2169 Fax: 321-253-1720 | |
Mr. Michael J Ceranowski, PA-C, CAA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Danielle N Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-725-4505 Fax: 321-409-8932 | |
Yesenia Aragon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2221 Town Center Ave, #121, Melbourne, FL 32940 Phone: 786-202-1865 |