| Jacob Benjamin Hentges, MD | |
|
1700 Se Hillmoor Dr, Port Saint Lucie, FL 34952-7539 | |
| (772) 398-7936 | |
| (833) 898-2600 |
| Full Name | Jacob Benjamin Hentges |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1700 Se Hillmoor Dr, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740818830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME154064 (Florida) | Primary |
| Entity Name | St Lucie Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548447535 PECOS PAC ID: 1456430487 Enrollment ID: O20080502000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Benjamin Hentges, MD 1700 Se Hillmoor Dr, Port Saint Lucie, FL 34952-7539 Ph: (772) 398-7936 | Jacob Benjamin Hentges, MD 1700 Se Hillmoor Dr, Port Saint Lucie, FL 34952-7539 Ph: (772) 398-7936 |
Dr. Bambi Petrinic, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 513 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986 Phone: 772-344-7228 Fax: 772-344-7158 | |
Bibiana Rocio Sandoval, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 10000 Sw Innovation Way, Port Saint Lucie, FL 34987 Phone: 772-345-8100 | |
Joel Dorce Alexandre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1362 Sw Bayshore Blvd, Port Saint Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215 | |
Dr. Edward K Kankam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 293 Nw Peacock Blvd Ste 101-104, Port Saint Lucie, FL 34986 Phone: 772-335-9600 Fax: 772-879-4478 | |
Dr. Patrick Leung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 290 Nw Peacock Blvd #880891, Port Saint Lucie, FL 34986 Phone: 816-398-8916 | |
Dionne Layne Hinds, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste C-106, Port Saint Lucie, FL 34952 Phone: 772-249-0636 Fax: 772-237-3114 | |
Dr. Joseph Michael Wierzbicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port Saint Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133 |