Look up the most recent NPI and PECOS records

Frederic Picault Tassy

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7825 Camino Real Apt 413j, Miami, FL 33143-6827

PECOS Enrollment

This provider is enrolled in PECOS as FREDERIC TASSY.

Based on the most recent information from CMS, provider Frederic Picault Tassy 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 4 days ago.

Profile Details

Provider ID
1245996875
Provider Type
Individual
Full Name
Tassy, Frederic Picault
Title
Mr.
Credential
ARNP

Gender
Male
Sole Proprietor
No
Enumeration Date
11/9/2021
Last Updated
11/9/2021

Contact Information

Practice Location

7825 Camino Real Apt 413j, Miami, FL 33143-6827

(786) 259-5485

Unlisted Fax

Mailing Location

7825 Camino Real Apt 413j, Miami, FL 33143-6827

(786) 259-5485

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F11210032 Florida

Frederic Picault Tassy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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