| Guerda Etienne, PA | |
|
312 S Lake St, Leesburg, FL 34748-5934 | |
| (352) 314-9300 | |
| (352) 314-9212 |
| Full Name | Guerda Etienne |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 312 S Lake St, Leesburg, 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 |
|---|---|---|---|
| 1124171384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9103734 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carespot Of Orlando Hsi Urgent Care Llc | 8921372558 | 55 |
| Entity Name | Solantic/south Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic of Jacksonville LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | West Boynton Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003172628 PECOS PAC ID: 0941456537 Enrollment ID: O20120815000049 |
| Entity Name | Carespot of Orlando Hsi Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Guerda Etienne, PA 1109 Sw 10th St, Ocala, FL 34474-2725 Ph: (352) 629-3455 | Guerda Etienne, PA 312 S Lake St, Leesburg, FL 34748-5934 Ph: (352) 314-9300 |
Nancy Reevs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-559-5051 |
Jennifer Koeller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 |
Dr. Robert Bernard, MD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 516-444-1494 Fax: 352-323-5529 |
Mrs. Noreen M Godfrey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 608 S 9th St Ste C, Leesburg, FL 34748 Phone: 813-321-1786 Fax: 813-321-1787 |
Jada Ryan Carpenter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 353-323-5762 |
Miss Martha Ann Olson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Plaza Dr, Leesburg, FL 34748 Phone: 352-326-8115 Fax: 352-326-5282 |
Duarte Velosa, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Emergency Department, Leesburg, FL 34748 Phone: 919-425-1565 Fax: 919-425-0478 |