Kaylee Rae Mashburn, PA-C is a medicare enrolled "Physician Assistant" physician in Fort Myers, Florida. Her current practice location is
13685 Doctors Way Ste 100, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 343-1612.
Kaylee Rae Mashburn is licensed to practice in Florida (license number PA9117963) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821878638.
Physician's Profile
Full Name | Kaylee Rae Mashburn |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 13685 Doctors Way Ste 100, Fort Myers, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821878638
- Provider Enumeration Date: 10/02/2023
- Last Update Date: 05/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092161406
- Enrollment ID: I20231020002027
Medical Identifiers
Medical identifiers for Kaylee Rae Mashburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821878638 | NPI | - | NPPES |
119846700 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0127X | Surgery - Trauma Surgery | 9117963 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9117963 (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. Kaylee Rae Mashburn 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 |
Kaylee Rae Mashburn, PA-C Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-1612 | Kaylee Rae Mashburn, PA-C 13685 Doctors Way Ste 100, Fort Myers, FL 33912-4337 Ph: (239) 343-1612 |
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