Kaylee Rae Mashburn, PA-C is a medicare enrolled "Physician Assistant" physician in Fort Myers, Florida. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lee Health System Inc and 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
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 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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| Experience | 3 Years |
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| Location | 13685 Doctors Way Ste 100, Fort Myers, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kaylee Rae Mashburn graduated from medical school in 2023
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 |
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| 2086S0127X | Surgery - Trauma Surgery | 9117963 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9117963 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lee Health System Inc | 9335672146 | 1153 |
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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