| Gregory Lyle Jungenberg, PA | |
|
1302 River St, Palatka, FL 32177-5042 | |
| (386) 328-8371 | |
| (386) 328-1519 |
| Full Name | Gregory Lyle Jungenberg |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1302 River St, Palatka, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689889818 | NPI | - | NPPES |
| 018954700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA 1724 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA1724 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Lyle Jungenberg, PA 1302 River St, Palatka, FL 32177-5042 Ph: (386) 326-7342 | Gregory Lyle Jungenberg, PA 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-8371 |
Mr. Mark Salvatore Ritchie, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
John Graham Charles, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 Zeagler Dr, Suite 8, Palatka, FL 32177 Phone: 386-328-4242 Fax: 386-328-4244 | |
Caitlin Young, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Bardin Estates Cir, Palatka, FL 32177 Phone: 386-916-9834 | |
Mr. Indrajit Verma, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-326-7342 Fax: 386-325-1086 | |
Kylie Mariah Boogaard, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 414 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-4123 | |
Carlton Anthony Dicarlo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 205 Zeagler Drive, Bldg 101, Palatka, FL 32177 Phone: 386-328-6746 Fax: 386-328-7554 |