| Breeanna Bacchus Davis, PA-C | |
|
220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | |
| (321) 241-6800 | |
| (321) 241-6890 |
| Full Name | Breeanna Bacchus Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 220 Barton Blvd Unit C-14, Rockledge, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588233902 | NPI | - | NPPES |
| PA9114561 | Other | FL | FL MEDICAL LICENSE |
| 111974100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9114561 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Breeanna Bacchus Davis, PA-C Po Box 1137, Melbourne, FL 32902-1137 Ph: (321) 952-9696 | Breeanna Bacchus Davis, PA-C 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 Ph: (321) 241-6800 |
Amanda Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 587 Barton Blvd, Rockledge, FL 32955 Phone: 312-635-0973 | |
Debra L Babcock, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 830 Executive Ln Ste 1110, Rockledge, FL 32955 Phone: 321-394-8000 Fax: 321-394-8002 | |
Daniel Daniels, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 800-476-8646 Fax: 919-382-3210 | |
Deven Metzger, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 800-476-8646 Fax: 919-382-3210 | |
Stephen Bodie Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1950 Rockledge Blvd, Rockledge, FL 32955 Phone: 321-636-0005 Fax: 321-636-9030 | |
Megan Penner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2070 Us Highway 1 Ste 103, Rockledge, FL 32955 Phone: 321-632-0552 | |
Lisa Michelle Luciano, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 321-636-2211 |