| Dorothy Whatley Porter, PA | |
|
3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | |
| (386) 788-1242 | |
| (386) 756-8802 |
| Full Name | Dorothy Whatley Porter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 3635 S Clyde Morris Blvd, Port Orange, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871849133 | NPI | - | NPPES |
| Y0CE7 | Other | FL | BCBS |
| 006441000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9106692 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Adventhealth Palm Coast | Palm coast, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Borland Groover Clinic, Pa | 6507761301 | 128 |
| Entity Name | Borland Groover Clinic, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881644912 PECOS PAC ID: 6507761301 Enrollment ID: O20031204000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Whatley Porter, PA 4800 Belfort Rd, Jacksonville, FL 32256-6004 Ph: (904) 483-5826 | Dorothy Whatley Porter, PA 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 Ph: (386) 788-1242 |
Keri Long Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127 Phone: 386-425-4787 Fax: 386-425-4788 |
Mr. Matthew John Morrison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127 Phone: 386-763-4920 Fax: 386-763-4939 |
Pamela Ross, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 802 Dunlawton Ave, Institute For Wellbeing Suite 102, Port Orange, FL 32127 Phone: 386-763-2338 |
Zachary King Roberts, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1208 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-7320 |
Katie Weisz Cremata, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-7842 Fax: 386-756-8802 |
Puja Patel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6705 Merryvale Ln, Port Orange, FL 32128 Phone: 386-334-9435 |
Mrs. Joanna Elizabeth Stoverink, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802 |