Active NPI
Fanny Tse, PA-C
- Physician Assistant
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9107621
- Practice address
- 21150 Biscayne Blvd Ste 208
Aventura, FL 33180-1231 - Phone
- (954) 482-4747
- NPI assigned
- Nov 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9107621 | FL | Primary |
Addresses
Primary practice location
21150 Biscayne Blvd Ste 208
Aventura, FL 33180-1231
Mailing address
829 SW 13TH St
Fort Lauderdale, FL 33315-1448
Phone (954) 993-7084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140303001015 | FL | Practitioner - Physician Assistant | 3971733494 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holy Cross Hospital Inc
Practice addresses (Care Compare)
1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383
4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000
4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807
4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931
4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136
4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770
4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750
4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700
4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770
4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780
4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748
4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728
Hospital & facility affiliations
- Holy Cross Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9107621 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital Inc | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| Intensive Care Experts Health Network LLC | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients |
Locations
1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015
701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195
1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900
21150 Biscayne Blvd
Ste 208
Miami, FL 33180
Phone (305) 534-2155
17180 Royal Palm Blvd
Ste 3
Weston, FL 33326
Phone (787) 462-4662
Interoperability endpoints
- ftse3227934@direct.trinity-health.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1457781072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 SW 13TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333151448",
"telephone_number": "954-993-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 BISCAYNE BLVD STE 208",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801231",
"telephone_number": "954-482-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "FANNY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-18",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9107621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.