| Andrea Leary, | |
|
205 Zeagler Dr Ste 101, Palatka, FL 32177-3860 | |
| (386) 325-2836 | |
| (386) 325-2736 |
| Full Name | Andrea Leary |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 205 Zeagler Dr Ste 101, Palatka, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538692736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9348971 (Florida) | Primary |
| Entity Name | Paragon Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Haven Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407143316 PECOS PAC ID: 2365692373 Enrollment ID: O20121030000003 |
| Entity Name | Express Family Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891034823 PECOS PAC ID: 4385888551 Enrollment ID: O20130910000771 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Leary, Po Box 551308, Jacksonville, FL 32255-1308 Ph: (904) 622-9040 | Andrea Leary, 205 Zeagler Dr Ste 101, Palatka, FL 32177-3860 Ph: (386) 325-2836 |
Mrs. Kathleen Anne Russell, ARNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Saint Johns Ave, Palatka, FL 32177 Phone: 904-279-2200 |
Kashanti Shanti Bowden, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6910 Old Wolf Bay Rd, Palatka, FL 32177 Phone: 386-328-7337 |
Jennifer Wengler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Reid St, Palatka, FL 32177 Phone: 386-328-5437 |
Julia Loftus Weber, ARNP RNCS MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786 |
Mr. Ronald Michael Wendt, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3703 Crill Ave, Palatka, FL 32177 Phone: 386-866-9100 Fax: 386-866-1900 |
Ms. Letichi Maudtres Tookes, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 307 Stilwell Ave, Palatka, FL 32177 Phone: 386-546-2236 |
Carol A Bennett, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-328-1519 |