Tracy M Creel, PA-C | |
411 Webster St, Wildwood, FL 34785-4036 | |
(352) 748-6689 | |
(352) 748-6381 |
Full Name | Tracy M Creel |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 411 Webster St, Wildwood, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871575324 | NPI | - | NPPES |
001311700 | Medicaid | FL | |
03729301 | Medicaid | MS | |
Y0139 | Other | FL | BLUECROSS/BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA064 (Mississippi) | Primary |
363AM0700X | Physician Assistant - Medical | PA9103034 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Tracy M Creel, PA-C 411 Webster St, Wildwood, FL 34785-4036 Ph: (352) 748-6689 | Tracy M Creel, PA-C 411 Webster St, Wildwood, FL 34785-4036 Ph: (352) 748-6689 |
Tyler Jeffrey Mize, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5575 E Sr 44, Wildwood, FL 34785 Phone: 352-571-4418 | |
Farah Siddiquah Persad, Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Gray Ave, Wildwood, FL 34785 Phone: 352-492-5611 | |
Ms. Kourtney Lauren Gates, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Gray Ave, Wildwood, FL 34785 Phone: 352-492-5611 |