| Alicia Mailly, ARNP | |
|
550 Scrub Jay Dr, St Augustine, FL 32092-1751 | |
| (904) 501-4236 | |
| Not Available |
| Full Name | Alicia Mailly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 550 Scrub Jay Dr, St Augustine, 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 |
|---|---|---|---|
| 1700581683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9272850 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11025568 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Full Service Urgent Care, Llc | 4183879364 | 23 |
| Entity Name | First Coast Infectious Disease Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740477843 PECOS PAC ID: 2567551104 Enrollment ID: O20071204000531 |
| Entity Name | St Vincent's Full Service Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20130220000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Mailly, ARNP 550 Scrub Jay Dr, St Augustine, FL 32092-1751 Ph: (904) 501-4236 | Alicia Mailly, ARNP 550 Scrub Jay Dr, St Augustine, FL 32092-1751 Ph: (904) 501-4236 |
Dr. Lilia Diaz Pino, PH.D., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 866-389-2727 | |
Mrs. Yvonne Payne, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Ashourian Ave Ste 209, St Augustine, FL 32092 Phone: 904-800-7246 Fax: 904-299-4116 | |
Mrs. Kelly Auclair, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 903-544-5800 Fax: 903-544-5800 | |
Kay Lewis Hood, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Whitehall Dr, St Augustine, FL 32086 Phone: 904-800-7246 | |
Joann Fritsch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, St Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Rachel Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 352-373-2507 | |
Melissa Spies, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2867 N 9th St, St Augustine, FL 32084 Phone: 904-999-7631 |