| Caspertine Johnson, | |
|
1101 Ohio Ave S, Live Oak, FL 32064-4146 | |
| (386) 339-1060 | |
| Not Available |
| Full Name | Caspertine Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1101 Ohio Ave S, Live Oak, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306502083 | NPI | - | NPPES |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
| Entity Name | Rural Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Caspertine Johnson, Po Box 5922, Valdosta, GA 31603-5922 Ph: () - | Caspertine Johnson, 1101 Ohio Ave S, Live Oak, FL 32064-4146 Ph: (386) 339-1060 |
Mrs. Melania J Willis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Ohio Ave S, Live Oak, FL 32064 Phone: 386-330-5248 Fax: 386-208-1380 | |
Valeria Nicole Randle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Walker Ave Nw, Live Oak, FL 32064 Phone: 386-364-8775 | |
Mrs. Amber Ingram Chauncey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1002 11th St Sw, Live Oak, FL 32064 Phone: 386-364-8050 | |
Mrs. Melissa Fay Peters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Ohio Ave S, Live Oak, FL 32064 Phone: 386-364-0776 | |
Kristina Melissa North, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 11th St Sw, Live Oak, FL 32064 Phone: 386-362-0800 | |
Mrs. Yvonne Deaton Billups, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Canyon Ave Ne Unit B, Live Oak, FL 32064 Phone: 386-208-0537 Fax: 386-208-0571 | |
Catherine Fleischman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Ave S, Live Oak, FL 32064 Phone: 386-758-0003 |