Angela Chernyshov, MMS, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Fort Myers, Florida. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice John Canterbury Pa, Millennium Physician Group Llc and her current practice location is
2675 Winkler Ave Fl 2, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(855) 979-5700.
Angela Chernyshov is licensed to practice in Florida (license number PA9106219) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700162740.
Physician's Profile
| Full Name | Angela Chernyshov |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 15 Years |
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| Location | 2675 Winkler Ave Fl 2, Fort Myers, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela Chernyshov graduated from medical school in 2011
NPI Data:
- NPI Number: 1700162740
- Provider Enumeration Date: 10/21/2011
- Last Update Date: 03/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638345903
- Enrollment ID: I20120109000452
Medical Identifiers
Medical identifiers for Angela Chernyshov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700162740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | PA9106219 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9106219 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| John Canterbury Pa | 5092803130 | 2 |
| Millennium Physician Group Llc | 9830244433 | 866 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Chernyshov is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Angela Chernyshov, MMS, PA-C
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342
Ph: (877) 856-3774 | Angela Chernyshov, MMS, PA-C
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342
Ph: (855) 979-5700 |
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