Prime Life Health LLC
A Medicare group practice based in Tampa, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5092153940), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5092153940
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20240410003840 | FL | Part B Supplier - Clinic/Group Practice | 1821869389 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Primelife Health LLC
- Family Medicine Physician
- Tampa, FL
- NPI 1821869389
-
Primelife Health LLC
- Family Medicine Physician
- Fort Myers, FL
- NPI 1144083577
Practice locations
- Fort Myers, FL1
- Bradenton, FL1
- Deland, FL1
- Ocala, FL1
- Tampa, FL1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (4).
-
Danny Abdallah Samara, MD
- General Practice Physician
- Ocala, FL
- NPI 1740826635
-
Darvis Eduardo Dager Lissabet, MD
- General Practice Physician
- Cape Coral, FL
- NPI 1720765506
-
Daniel Escalona Escalona, APRN
- Family Nurse Practitioner
- New Port Richey, FL
- NPI 1013612720
-
Orlando S Rangel, MD
- General Practice Physician
- Tampa, FL
- NPI 1942379466
-
Gilberto Serrano Ocana, MD
- General Practice Physician
- Oakland, FL
- NPI 1043894421
-
Ramon Suarez Carmona, APRN
- Gerontology Nurse Practitioner
- North Port, FL
- NPI 1851778062
-
Lissette Villalobo Crespo, APRN
- Family Nurse Practitioner
- Brandon, FL
- NPI 1447959366
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.