| Baptist Agewell Physicians Inc | |
|
3563 Philips Hwy Ste 101 Jacksonville FL 32207 | |
| (904) 202-1032 | |
| (904) 376-4107 |
| Full Name | Baptist Agewell Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3563 Philips Hwy Ste 101, Jacksonville, Florida |
| Authorized Official Name and Position | Marsha Donaldson (ADMINISTRATOR) |
| Authorized Official Contact | 9043763707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Agewell Physicians Inc Po Box 746636 Atlanta GA 30374-6636 Ph: (904) 202-2092 | Baptist Agewell Physicians Inc 3563 Philips Hwy Ste 101 Jacksonville FL 32207 Ph: (904) 202-1032 |
| NPI Number | 1306107099 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 07/01/2025 |
| Certification Date | 07/01/2025 |
| Medicare PECOS PAC ID | 0244480531 |
|---|---|
| Medicare Enrollment ID | O20121023000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306107099 | NPI | - | NPPES |
| Provider Name | Anna Orman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912975426 PECOS PAC ID: 0547265779 Enrollment ID: I20060922000040 |
| Provider Name | Alison A Bartfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811974454 PECOS PAC ID: 7113054487 Enrollment ID: I20100416000792 |
| Provider Name | Anne Elizabeth Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639480114 PECOS PAC ID: 3072639939 Enrollment ID: I20100928001289 |
| Provider Name | Regina Marie Bielawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316943855 PECOS PAC ID: 9537354105 Enrollment ID: I20101109000255 |
| Provider Name | Mona I Chiribau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407035009 PECOS PAC ID: 1254514177 Enrollment ID: I20110330000176 |
| Provider Name | Margaret Leigh Ann Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083046346 PECOS PAC ID: 3072747963 Enrollment ID: I20131008001563 |
| Provider Name | Amy E Harp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760750566 PECOS PAC ID: 0749417665 Enrollment ID: I20150505002860 |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477718799 PECOS PAC ID: 0648444976 Enrollment ID: I20150901003337 |
| Provider Name | Anna Paola Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245615293 PECOS PAC ID: 0840590303 Enrollment ID: I20170127001776 |
| Provider Name | Lizza M Bojito-marrero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336442532 PECOS PAC ID: 6002087871 Enrollment ID: I20170614002135 |
| Provider Name | Rosemary T Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392949 PECOS PAC ID: 9234427287 Enrollment ID: I20180718004017 |
| Provider Name | Kristin Lee Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700357324 PECOS PAC ID: 8820321003 Enrollment ID: I20190603000832 |
| Provider Name | Caitlin E Audet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366066615 PECOS PAC ID: 5193141612 Enrollment ID: I20200814000922 |
| Provider Name | Carly M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467046664 PECOS PAC ID: 4587069711 Enrollment ID: I20210825003023 |
| Provider Name | Anjali Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922265123 PECOS PAC ID: 2860687977 Enrollment ID: I20220921003647 |
| Provider Name | Victoria J Strongosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851114870 PECOS PAC ID: 0345777363 Enrollment ID: I20250102001469 |
| Provider Name | Kathleen A Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952818809 PECOS PAC ID: 9234499930 Enrollment ID: I20250116003833 |
| Provider Name | Kate M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861431462 PECOS PAC ID: 4587627732 Enrollment ID: I20250423003817 |
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