Dr Angela Kay Stapleton-mackenzie, MD in Ponte Vedra, FL

Dr Angela Kay Stapleton-mackenzie, MD is a medicare enrolled "Family Medicine" physician in Ponte Vedra, Florida. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1997 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Baptist Primary Care Inc and her current practice location is 400 Colonnade Dr Ste 160, Ponte Vedra, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 824-1020.

Dr Angela Kay Stapleton-mackenzie is licensed to practice in Florida (license number ME161192) 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 1518969575.

Contact Information

	Dr Angela Kay Stapleton-mackenzie, MD
	400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081-6236
	(904) 824-1020
	(904) 390-7503

Map and Direction

Physician's Profile

Full Name	Dr Angela Kay Stapleton-mackenzie
Gender	Female
Speciality	Family Practice
Experience	29 Years
Location	400 Colonnade Dr Ste 160, Ponte Vedra, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Angela Kay Stapleton-mackenzie attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1997

NPI Data:

NPI Number: 1518969575
Provider Enumeration Date: 06/02/2005
Last Update Date: 06/09/2025

Medicare PECOS Information:

PECOS PAC ID: 7517911837
Enrollment ID: I20230316000824

Medical Identifiers

Medical identifiers for Dr Angela Kay Stapleton-mackenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518969575	NPI	-	NPPES
205213010	Medicaid	MO
27472051	Other	MO	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	136291 (California)	Secondary
207Q00000X	Family Medicine	113071 (Missouri)	Secondary
207Q00000X	Family Medicine	MD60776458 (Washington)	Secondary
207QA0505X	Family Medicine - Adult Medicine	ME161192 (Florida)	Secondary
207Q00000X	Family Medicine	ME161192 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Primary Care Inc	0648177733	420

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Angela Kay Stapleton-mackenzie allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Dr Angela Kay Stapleton-mackenzie 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
Dr Angela Kay Stapleton-mackenzie, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092	Dr Angela Kay Stapleton-mackenzie, MD 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081-6236 Ph: (904) 824-1020

Reviews and Comments

Family Medicine Doctors in Ponte Vedra, FL

Nasrin Datar Raina, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081 Phone: 904-543-3677
Richard W. Townsend, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 351 Town Plaza Ave Ste 105a, Ponte Vedra, FL 32081 Phone: 904-819-3233 Fax: 904-456-0819
Dr. Lara Diane Church, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Hilden Rd Ste 201, Credentialing Department, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-829-2850
Elizabeth Anne Nelson Andersen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460
Hiro M Rahbar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-824-5333
Donald W Tice, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460
Sarah Crane Adams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 162 Parkbluff Cir, Ponte Vedra, FL 32081 Phone: 706-464-1744 Fax: 904-372-6158

Dr Angela Kay Stapleton-mackenzie, MD - Medicare Family Practice in Ponte Vedra, FL