| Elijah Gordon Wells, PA-C | |
|
60 Memorial Medical Pkwy Ste 2801, Palm Coast, FL 32164-5980 | |
| (386) 586-1910 | |
| Not Available |
| Full Name | Elijah Gordon Wells |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 60 Memorial Medical Pkwy Ste 2801, Palm Coast, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538561501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9113266 (Florida) | Primary |
| Entity Name | Emergency Medicine Professionals PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205880853 PECOS PAC ID: 0446244362 Enrollment ID: O20040413001435 |
| Entity Name | Brevard Physician Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Gordon Wells, PA-C 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 Ph: Not Available | Elijah Gordon Wells, PA-C 60 Memorial Medical Pkwy Ste 2801, Palm Coast, FL 32164-5980 Ph: (386) 586-1910 |
Pablo Manuel Dejesus, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Palm Coast Family Practice, 9 Pine Cone Drive, Suite 102, Palm Coast, FL 32137 Phone: 386-445-6191 Fax: 386-445-3916 |
Jenissa Denee Leite Da Silva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164 Phone: 386-586-1955 Fax: 386-586-1959 |
Tina R Ellison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 1-800a, Palm Coast, FL 32164 Phone: 386-302-1365 |
Mr. Frank Jacob Yavorosky, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Adventhealth Way Ste 210, Palm Coast, FL 32137 Phone: 386-302-1360 Fax: 386-302-1361 |
Savannah Crist Munier, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 37 Old Kings Rd, Palm Coast, FL 32137 Phone: 386-225-4607 Fax: 386-276-3172 |
Gary W. Morse, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2010 |
Ana Iris Figueroa, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Medical Pkwy Ste 101, Palm Coast, FL 32164 Phone: 386-586-1523 Fax: 386-445-4751 |