| Krista Lee Barber, | |
|
9 San Bartola Dr, St Augustine, FL 32086-5767 | |
| (904) 825-4500 | |
| (904) 825-3672 |
| Full Name | Krista Lee Barber |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9 San Bartola Dr, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942745997 | NPI | - | NPPES |
| M7007 | Other | FL | MEDICARE |
| WAD4U | Other | FL | FL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11523 (Florida) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Lee Barber, 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256-6932 Ph: (904) 363-2113 | Krista Lee Barber, 9 San Bartola Dr, St Augustine, FL 32086-5767 Ph: (904) 825-4500 |
Denise Mershon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1880 San Sebastian Vw, St Augustine, FL 32084 Phone: 800-539-4228 | |
Mrs. Gwendolen Haydon Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Kingsley Lake Dr, Suite 702, St Augustine, FL 32092 Phone: 904-716-5619 | |
Mrs. Alyssa A Thaxton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 Plantation Island Dr S Ste 110-120, St Augustine, FL 32080 Phone: 904-824-7733 | |
Mr. Michael John Meehan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 Saint Johns Medical Pk Dr, St Augustine, FL 32086 Phone: 904-797-2705 Fax: 904-797-2820 | |
Mrs. Vivian Juvan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 Us 1 S, Suite 104, St Augustine, FL 32086 Phone: 904-304-5282 | |
Ashton Timmons, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 362 Varella Ave, St Augustine, FL 32084 Phone: 941-544-0240 | |
Mrs. Janet Griswold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Southpark Blvd, Suite D, St Augustine, FL 32086 Phone: 904-824-7597 Fax: 904-824-7598 |