| Amy Brooke Mendonsa, PA | |
|
96279 Brady Point Rd, Fernandina Beach, FL 32034 | |
| (904) 321-0088 | |
| (904) 321-0016 |
| Full Name | Amy Brooke Mendonsa |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 96279 Brady Point Rd, Fernandina Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225385453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110005712 (Virginia) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA9106594 (Florida) | Secondary |
| Entity Name | Seabreeze Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487172094 PECOS PAC ID: 3779846696 Enrollment ID: O20180406000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Brooke Mendonsa, PA 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 Ph: (904) 321-0088 | Amy Brooke Mendonsa, PA 96279 Brady Point Rd, Fernandina Beach, FL 32034 Ph: (904) 321-0088 |
Caroline Gray Mckee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 Phone: 904-202-6683 Fax: 904-376-3062 |
Courtney Marshall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1132 S 14th St, Fernandina Beach, FL 32034 Phone: 904-432-3061 Fax: 904-432-3062 |
Scott Allen Weeks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 Phone: 042-619-7869 Fax: 904-277-4143 |
Mr. Robert Lee Gray Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1987 S 8th St, Fernandina Beach, FL 32034 Phone: 904-624-7003 |
Molly Grassman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1699 S 14th St Ste 16, Fernandina Beach, FL 32034 Phone: 904-223-3321 Fax: 904-223-2169 |
Randall B Fulford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 96279 Brady Point Rd, Fernandina Beach, FL 32034 Phone: 904-321-0088 |
Lori Young Tilton, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 220 S 14th St, Fernandina Beach, FL 32034 Phone: 904-491-3688 Fax: 904-390-7450 |