| Chancelor Mccolley, PA-C | |
|
8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202-4111 | |
| (941) 366-3000 | |
| (941) 366-3002 |
| Full Name | Chancelor Mccolley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 8430 Enterprise Cir Ste 130, Lakewood Ranch, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326704826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9115014 (Florida) | Primary |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Chancelor Mccolley, PA-C Po Box 947407, Atlanta, GA 30394-7407 Ph: (941) 917-2600 | Chancelor Mccolley, PA-C 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202-4111 Ph: (941) 366-3000 |
Katelyn Crawford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6310 Health Park Way Ste 330, Lakewood Ranch, FL 34202 Phone: 941-359-8900 |
Denise M. West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd Ste 260, Lakewood Ranch, FL 34202 Phone: 941-218-1711 Fax: 941-955-9806 |
Kellie Roesch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5860 Ranch Lake Blvd Ste 200, Lakewood Ranch, FL 34202 Phone: 941-253-5751 |
Jason M Lee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd Ste 300, Lakewood Ranch, FL 34202 Phone: 941-792-1404 Fax: 941-761-0712 |
Laura Elizabeth Kiely, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8926 77th Ter E Unit 101, Lakewood Ranch, FL 34202 Phone: 941-907-0222 Fax: 941-907-0493 |
Beth Christine Kerneklian, PTA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8936 77th Ter E Unit 101, Lakewood Ranch, FL 34202 Phone: 941-758-7300 |
Ilysa Karin Howarth, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7085 |