| Annalee Santos Russ, PHYSICIAN ASSISTANT | |
|
17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | |
| (352) 693-2340 | |
| (352) 693-2345 |
| Full Name | Annalee Santos Russ |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 17820 Se 109th Ave Ste 108, Summerfield, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750855649 | NPI | - | NPPES |
| R200017915500 | Other | FL | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9111964 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uf Health Spanish Plaines Hospital | The villages, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Florida Spine Institute, Pllc - Summerfield | 5597868364 | 4 |
| Santos Primary Care Medical Clinics, Pllc | 9234478926 | 7 |
| Entity Name | Central Florida Spine Institute, PLLC - Summerfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922195171 PECOS PAC ID: 5597868364 Enrollment ID: O20070315000271 |
| Entity Name | Santos Primary Care Medical Clinics, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104311315 PECOS PAC ID: 9234478926 Enrollment ID: O20190225000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Annalee Santos Russ, PHYSICIAN ASSISTANT 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 Ph: (352) 693-2340 | Annalee Santos Russ, PHYSICIAN ASSISTANT 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 Ph: (352) 693-2340 |
Sheila R Dickerman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 17136 Se 109th Terrace Rd Ste 4, Summerfield, FL 34491 Phone: 352-320-6154 |
Noreen Burch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17270 Se 109th Terrace Rd, Summerfield, FL 34491 Phone: 352-633-7222 Fax: 352-633-7205 |
Mr. Leon Martin Bard, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 17820 Se 109th Ave Ste 108, Summerfield, FL 34491 Phone: 352-693-2340 |
Carla Renee Bailey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10973 Se 175th Pl Ste 100, Summerfield, FL 34491 Phone: 352-259-6553 Fax: 352-873-9397 |
Tiffani Masar, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491 Phone: 352-307-9925 |
Marissa Rae Reit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10770 Se 173rd St, Summerfield, FL 34491 Phone: 352-435-7321 |
Kristen Marie Teel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17270 Se 109th Terrace Rd, Summerfield, FL 34491 Phone: 352-633-7222 |