| Diana Medina, PA | |
|
1351 13th Ave S Ste 110, Jacksonville Beach, FL 32250-3237 | |
| (904) 249-9995 | |
| (904) 249-9449 |
| Full Name | Diana Medina |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1351 13th Ave S Ste 110, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023419728 | NPI | - | NPPES |
| KP511 | Other | FL | MEDICARE |
| Y0R3E | Other | FL | BCBS |
| 013309400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAT9108228 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9108228 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Medina, PA 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Diana Medina, PA 1351 13th Ave S Ste 110, Jacksonville Beach, FL 32250-3237 Ph: (904) 249-9995 |
Ms. Ingrid Laurinaitis, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1361 13th Ave S, Suite 170a, Jacksonville Beach, FL 32250 Phone: 904-249-4456 Fax: 904-249-7703 | |
Dr. Deborah Lane Ghandour, PA-C, DHSC Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1825 3rd St N Ste B, Jacksonville Beach, FL 32250 Phone: 904-595-5826 Fax: 904-595-5827 | |
Ashley Saliba Hill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Roberts Dr Ste 101, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-376-3213 | |
Ms. Abby Rae Kelly, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Shetter Ave, Jacksonville Beach, FL 32250 Phone: 904-241-6767 Fax: 904-241-7340 | |
Samantha Nowakowski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 | |
Michael D Kring, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-249-0335 Fax: 904-376-4107 |