| Chris Le, PA-C | |
|
4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 | |
| (904) 634-0640 | |
| (904) 634-0203 |
| Full Name | Chris Le |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 4565 Us Highway 17 Ste 200, Fleming Island, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154083533 | NPI | - | NPPES |
| 116273800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9114922 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Concierge Home Care | Orange park, FL | Home health agency |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Brooks Rehabilitation Hospital University Campus | Jacksonville, FL | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Orthopedic Specialists Llc | 1456246974 | 144 |
| Effingham Rehab Services, Llc | 5597752063 | 143 |
| Lake Area Physical Therapy Inc. | 3678604840 | 372 |
| Entity Name | Southeast Orthopedic Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Le, PA-C 6800 Soutpoint Pkwy, Ste 300, Jacksonville, FL 32216 Ph: (904) 634-0640 | Chris Le, PA-C 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 Ph: (904) 634-0640 |
Miss Lauren Elizabeth Jenkins, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1570 Island Ln, Fleming Island, FL 32003 Phone: 904-308-3751 |
Justin Anthony Masud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1681 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003 Phone: 904-493-3333 |
Alexandra Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2349 Village Square Pkwy Ste 110-111, Fleming Island, FL 32003 Phone: 904-385-2023 Fax: 904-637-4953 |
Sydney Griffith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2349 Vlg Sq Pkwy # 110-111, Fleming Island, FL 32003 Phone: 904-385-2023 Fax: 904-385-2454 |
Raychel Lee Raymer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Dr Ste 300, Fleming Island, FL 32003 Phone: 904-214-8100 Fax: 904-214-8109 |
Katelyn Cory, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1810 W Lake Ct, Fleming Island, FL 32003 Phone: 904-716-7412 |
Lindsay Vanderlinde, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003 Phone: 904-634-0640 |