Courtney Shae Owens, is a
Family Medicine physician based in Glen St Mary, Florida. Courtney Shae Owens is licensed to practice in Florida (license number 11046083) and her current practice location is 10412 Hollie Rd, Glen St Mary, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 408-1402.
NPI number for Courtney Shae Owens is 1891630943 and her current mailing address is 10412 Hollie Rd, Glen St Mary, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891630943.
Physician's Profile
| Full Name | Courtney Shae Owens |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 10412 Hollie Rd, Glen St Mary, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891630943
- Provider Enumeration Date: 04/23/2026
- Last Update Date: 04/23/2026
Medical Identifiers
Medical identifiers for Courtney Shae Owens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891630943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 11046083 (Florida) | Primary |
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. Courtney Shae Owens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Courtney Shae Owens, 10412 Hollie Rd, Glen St Mary, FL 32040-2565 Ph: (904) 408-1402 | Courtney Shae Owens, 10412 Hollie Rd, Glen St Mary, FL 32040-2565 Ph: (904) 408-1402 |
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