Tina Maree Agan, APRN, FNP-C in Largo, FL - Medicare Nurse Practitioner

Tina Maree Agan, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Largo, Florida. Her current practice location is 7501 142nd Ave, Lot 530, Largo, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 754-1719.

Tina Maree Agan is licensed to practice in Florida (license number ARNP9369198) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447513718.

Contact Information

	Tina Maree Agan, APRN, FNP-C
	7501 142nd Ave, Lot 530, Largo, FL 33771-4610
	(727) 754-1719
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina Maree Agan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7501 142nd Ave, Largo, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447513718
Provider Enumeration Date: 06/20/2012
Last Update Date: 01/08/2020

Medicare PECOS Information:

PECOS PAC ID: 9335373752
Enrollment ID: I20131017001249

Medical Identifiers

Medical identifiers for Tina Maree Agan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447513718	NPI	-	NPPES
009642500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9369198 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tina Maree Agan allows following entities to bill medicare on her behalf.

Entity Name	Roberta Rexroth Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104203892 PECOS PAC ID: 3971824673 Enrollment ID: O20150606000025

Entity Name	Liberty Mobile Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376228312 PECOS PAC ID: 9537517594 Enrollment ID: O20231130003763

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. Tina Maree Agan 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
Tina Maree Agan, APRN, FNP-C 12470 Telecom Drive, Suite 300w, Temple Terrace, FL 33637-0904 Ph: () -	Tina Maree Agan, APRN, FNP-C 7501 142nd Ave, Lot 530, Largo, FL 33771-4610 Ph: (727) 754-1719

Reviews and Comments

Nurse Practitioner Nurses in Largo, FL

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Gissy L Suarez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7050 Ulmerton Rd, Largo, FL 33771 Phone: 727-777-4540 Fax: 727-248-0432
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200
Radica Singh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360

Tina Maree Agan, APRN, FNP-C - Medicare Nurse Practitioner in Largo, FL