| Mrs Joelle M Innocent-simon, DO | |
|
1550 S Water St, Starke, FL 32091-4511 | |
| (904) 368-2489 | |
| (904) 368-2493 |
| Full Name | Mrs Joelle M Innocent-simon |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 1550 S Water St, Starke, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205970134 | NPI | - | NPPES |
| 1457448284 | Other | FL | SHANDS STARKE MEDICAL GROUP |
| 1942270905 | Other | FL | NPI FOR GROUP |
| 57355 | Other | FL | BCBS |
| 250170800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0006902 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Home Health Care Inc | Starke, FL | Home health agency |
| Kindred At Home | Gainesville, FL | Home health agency |
| Pinnacle Home Care Of The Villages Inc | Fruitland park, FL | Home health agency |
| Nurse On Call | Gainesville, FL | Home health agency |
| Community Hospice Of Northeast Florida Inc | Jacksonville, FL | Hospice |
| Haven Hospice | Gainesville, FL | Hospice |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Uf Health Shands Hospital | Gainesville, FL | Hospital |
| North Florida Regional Medical Center | Gainesville, FL | Hospital |
| Riverwood Health & Rehabilitation Center | Starke, FL | Nursing home |
| Marshall Health And Rehabilitation Center | Perry, FL | Nursing home |
| Good Samaritan Center | Live oak, FL | Nursing home |
| Harts Harbor Health Care Center | Jacksonville, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1658 |
| Lake Area Physical Therapy Inc. | 3678604840 | 252 |
| Physician Services Group Of Florida, Llc | 7719314830 | 18 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Physician Services Group Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235775396 PECOS PAC ID: 7719314830 Enrollment ID: O20200228001953 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Joelle M Innocent-simon, DO 1550 S Water St, Starke, FL 32091-4511 Ph: (904) 368-2489 | Mrs Joelle M Innocent-simon, DO 1550 S Water St, Starke, FL 32091-4511 Ph: (904) 368-2489 |
Dr. Dung Nguyen Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1550 S Water St, Starke, FL 32091 Phone: 904-368-2480 Fax: 904-368-2481 | |
Mrs. Lyla Marie Smith, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 550 Georgia St, Starke, FL 32091 Phone: 904-364-2900 Fax: 904-364-2901 | |
Mrs. Natalia Anatolievna Shiriaeva, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1546 S Water St, Starke, FL 32091 Phone: 904-964-1888 Fax: 904-964-1884 | |
Dona Hunt, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1550 S Water St, Starke, FL 32091 Phone: 904-368-2480 Fax: 904-368-2482 | |
Dr. Kevin Benjamine Mcbride, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1550 S Water St, Starke, FL 32091 Phone: 904-368-2480 Fax: 904-368-2481 | |
Paul M Montoya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 W Madison St, Starke, FL 32091 Phone: 904-964-5455 Fax: 904-964-4099 |