Marissa Brooke Tufariello, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9105412 Issued in FL

Practice address

2863 Alt. 19 N.
Palm Harbor, FL 34683-1926

Phone

(727) 781-5652

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward G Mackay, MD and Associates, LLCGroup PAC ID 5193064467, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.52 of 100Reported as group

Quality

97.35

Promoting interoperability

100

Improvement activities

40

Cost

71.05

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Edward G Mackay, MD and Associates, LLC

  • Vascular Surgery Physician
  • Palm Harbor, FL
  • NPI 1043774003
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1952526329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 DR. MLK JR. ST. N.",
            "address_2": "SUITE C-2",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-527-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 ALT. 19 N.",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-781-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFARIELLO",
        "first_name": "MARISSA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009672",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trust Pharmacy LLC
• Trust Pharmacy LTC ,LLC
• Tiffany Tseng, PHARMD
• Lisa Tuccio
• Michael Domenic Tuccio, DPT
• Kathleen Mary Tufaro, LMHC
• John A Tutay, DMD
• Tuttle Health, LLC
• Daniel Tuttle, DC, LCSW
• Lyda D Tymiak, MD PA

• Surgical Physician Assistant in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.

Verify at the official NPI Registry.