| Mr Frederick Jason Mcnew, PA-C | |
|
922 E Call St, Starke, FL 32091-3616 | |
| (904) 368-2300 | |
| (904) 368-2306 |
| Full Name | Mr Frederick Jason Mcnew |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 922 E Call St, Starke, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528021250 | NPI | - | NPPES |
| 291787400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102191 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA9102191 (Florida) | Secondary |
| Entity Name | Fl-i Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Frederick Jason Mcnew, PA-C 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Mr Frederick Jason Mcnew, PA-C 922 E Call St, Starke, FL 32091-3616 Ph: (904) 368-2300 |
Lenora Sheppard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 922 E Call St, Starke, FL 32091 Phone: 404-723-1959 |
Ms. Gabrielle Perez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 922 E Call St Ste 100, Starke, FL 32091 Phone: 904-364-2900 |
Mr. Thomas Joseph Collins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 Phone: 904-682-2419 Fax: 904-682-3230 |
Andrew Lyn Owen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Georgia St, Starke, FL 32091 Phone: 904-364-2900 Fax: 904-364-2901 |
Mrs. Jenny Maria Dodson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 922 E Call St, Starke, FL 32091 Phone: 904-368-2300 Fax: 386-292-8295 |
Rylee Wainwright, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 922 E Call St Ste 100, Starke, FL 32091 Phone: 904-364-2900 Fax: 904-364-2901 |
Jessica Luckado Caveny, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14044 Se 48th Ave, Starke, FL 32091 Phone: 904-263-5422 |