| Lisa Jo Straight, RNCS-FNP | |
|
10430 Ray Rd, Ponte Vedra, FL 32081-8813 | |
| (904) 671-8329 | |
| (904) 824-9983 |
| Full Name | Lisa Jo Straight |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 10430 Ray Rd, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740449214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 11038807 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 036970 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of West Virginia | Vienna, WV | Home health agency |
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| United Hospital Center | Bridgeport, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ritchie County Primary Care Assoc Inc | 0244142453 | 17 |
| Valeo Medical Pllc | 5597806471 | 19 |
| Entity Name | Ritchie County Primary Care Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265404230 PECOS PAC ID: 0244142453 Enrollment ID: O20031105000082 |
| Entity Name | Ritchie County Primary Care Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1265404230 PECOS PAC ID: 0244142453 Enrollment ID: O20080729000000 |
| Entity Name | Valeo Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407180888 PECOS PAC ID: 5597806471 Enrollment ID: O20100114000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jo Straight, RNCS-FNP Po Box 5, Winooski, VT 05404-0005 Ph: (802) 857-0400 | Lisa Jo Straight, RNCS-FNP 10430 Ray Rd, Ponte Vedra, FL 32081-8813 Ph: (904) 671-8329 |
Mrs. Sandra Samantha Zaffuto, APRN, FNP-C General Practice Medicare: Accepting Medicare Assignments Practice Location: 208 Senegal Dr, Ponte Vedra, FL 32081 Phone: 904-294-3310 |