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Phuong Quyen Thi Dinh-Bailey

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1818 Short Branch Dr Ste 102, Trinity, FL 34655-4425

PECOS Enrollment

This provider is enrolled in PECOS as PHUONG QUYEN DINH-BAILEY.

Based on the most recent information from CMS, provider Phuong Quyen Thi Dinh-Bailey is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1043968209
Provider Type
Individual
Full Name
Dinh-Bailey, Phuong Quyen Thi
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/16/2022
Last Updated
3/16/2022

Contact Information

Practice Location

1818 Short Branch Dr Ste 102, Trinity, FL 34655-4425

(727) 332-0028

Unlisted Fax

Mailing Location

1829 Sumac Ct, Trinity, FL 34655-4977

(727) 278-9893

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9339067 Florida

Phuong Quyen Thi Dinh-Bailey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Taylor, Julie Anne

Jonas, Rebecca A

Williams, Jennifer Ann

Martinez, Jennifer Melissa

Drew, Michale

Falcon, Andrea Marie

Law, Robert James

Scudiero, Stephanie Adele

Spinner, Stacy

Casler, Viva Nanette