Coty J Tino (NPI# 1073909982, PAC ID# 4587978119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073909982 |
| PAC ID by PECOS | 4587978119 |
| Professional Enrollment ID | I20180918002300 |
| Full Name | Coty J Tino |
| Organization Legal Name | MEADOWCREST FAMILY PHYSICIANS, P.A. |
| Address |
1250 N Vantage Pt Dr Crystal River FL 34429-2679 |
| Phone Number | 3527950644 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597784199 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100023 | CITRUS MEMORIAL HOSPITAL |
| 100249 | SEVEN RIVERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 | 3527950644 | MEADOWCREST FAMILY PHYSICIANS, P.A. |
| 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 | MEADOWCREST PHYSICIANS PARTNERS LLC |
| Organization Legal Name | MEADOWCREST FAMILY PHYSICIANS, P.A. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmy C Dickert | Internal Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Robbie Lee Bradley | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Ryan Spencer Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Jeri L Anderson | Nurse Practitioner | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Alex Jonathan Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Jennifer Yoho | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Kaitlyn Paige Dickert | Registered Dietitian Or Nutrition Professional | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Street Address |
1250 N VANTAGE PT DR |
| City | CRYSTAL RIVER |
| State | FL |
| Zip | 34429-2679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robbie Lee Bradley | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Jennifer Yoho | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Heubach | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
| Donna Jean Scarbrough | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
| Jered Jones | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
| Jimmy C Dickert | Internal Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Ryan Spencer Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Jeri L Anderson | Nurse Practitioner | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Alex Jonathan Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Kaitlyn Paige Dickert | Registered Dietitian Or Nutrition Professional | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Angela Acevedo | Internal Medicine | 6202 W Corporate Oaks Dr, Crystal River, FL 34429-2705 | |
| Alan M Freedman | Ophthalmology | Suncoast Eye Center Pa | 221 Ne Hwy 19, Crystal River, FL 34429-4232 |
| Find all physicians in zip 34429 | |||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CRYSTAL RIVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Coty J Tino.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.