| Dr Jessica R Ross, MD | |
|
911 S Main St, Trenton, FL 32693-3239 | |
| (352) 463-2374 | |
| (352) 463-2726 |
| Full Name | Dr Jessica R Ross |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 911 S Main St, Trenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639341555 | NPI | - | NPPES |
| 004242600 | Medicaid | FL | |
| 14J57 | Other | FL | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME 109165 (Florida) | Primary |
| Entity Name | Trenton Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica R Ross, MD 3543 Sw 30th Way, #107, Gainesville, FL 32608-2751 Ph: (217) 827-6158 | Dr Jessica R Ross, MD 911 S Main St, Trenton, FL 32693-3239 Ph: (352) 463-2374 |
Andrea Pepin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 S Main St, Trenton, FL 32693 Phone: 352-463-6293 | |
Cheryl Rogers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 911 S Main St, Trenton, FL 32693 Phone: 352-463-6292 Fax: 352-463-4507 | |
Dr. Lana Pidgeon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 911 S Main St, Trenton, FL 32693 Phone: 352-463-2374 Fax: 352-463-2726 | |
Jeyko Joelle Garuz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 911 S Main St, Trenton, FL 32693 Phone: 352-463-2374 |