Gwendolyn Marie Spong, APRN - Medicare Nurse Practitioner in St. Augustine, FL

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Gwendolyn Marie Spong, APRN is a medicare enrolled "Nurse Practitioner - Family" in St. Augustine, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chma Of Fl Llc and her current practice location is 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 824-2838.

Gwendolyn Marie Spong is licensed to practice in Florida (license number APRN9350043) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568954576.

Contact Information

Gwendolyn Marie Spong, APRN
2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46,
St. Augustine, FL 32084
(904) 824-2838
Not Available

Map and Direction




Provider's Profile

Full NameGwendolyn Marie Spong
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2703 N Ponce De Leon Blvd., St. Augustine, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gwendolyn Marie Spong graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1568954576
  • Provider Enumeration Date: 06/05/2018
  • Last Update Date: 03/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0446596191
  • Enrollment ID: I20190116003605

Medical Identifiers

Medical identifiers for Gwendolyn Marie Spong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568954576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN9350043 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chma Of Fl Llc812342064315

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gwendolyn Marie Spong allows following entities to bill medicare on her behalf.
Entity NameSaint Augustine Hospitalists Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962977306
PECOS PAC ID: 1355687419
Enrollment ID: O20190109003499
Entity NameChma Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912581653
PECOS PAC ID: 8123420643
Enrollment ID: O20210707000812

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwendolyn Marie Spong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gwendolyn Marie Spong, APRN
2703 N Ponce De Leon Blvd,
St Augustine, FL 32084-2603

Ph: (904) 415-9135		Gwendolyn Marie Spong, APRN
2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46,
St. Augustine, FL 32084

Ph: (904) 824-2838

Reviews and Comments


Nurse Practitioner Nurses in St. Augustine, FL

Karen Stover, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 Health Park Blvd, St. Augustine, FL 32086
Phone: 904-826-3469    Fax: 904-808-4608
Ms. Rosemary Bates, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1955 Ponce De Leon Blvd, St. Augustine, FL 32086
Phone: 904-829-8954    
Maryann Hickey, RN, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2703 Ponce Deleon, Cvs Minute Clinic, St. Augustine, FL 32084
Phone: 186-638-9272    Fax: 401-652-9787
Lidia S Dalessandro, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Health Park Blvd, Ste. 300, St. Augustine, FL 32086
Phone: 904-819-5155    
Mrs. Crystal Ann Hyder, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Health Park Blvd, Flagler Hospital, St. Augustine, FL 32086
Phone: 904-819-5155    
Dr. Jacques Howard Amole, DNP, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 San Sebastian Way, St. Augustine, FL 32084
Phone: 904-209-6234    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.