| Jacquelyn Hodes Orcino, PA | |
|
180 N Watersound Pkwy, Inlet Beach, FL 32461-7274 | |
| (850) 278-3551 | |
| (850) 278-3596 |
| Full Name | Jacquelyn Hodes Orcino |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 180 N Watersound Pkwy, Inlet Beach, 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 |
|---|---|---|---|
| 1891016705 | NPI | - | NPPES |
| 2113020 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109763 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Sacred Heart Pensacola | Pensacola, FL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health System Inc | 3779491386 | 373 |
| Ent And Allergy Associates Of Florida, Llc | 0042292849 | 227 |
| Entity Name | Ent and Allergy Associates of Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Entity Name | Emerald Coast Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396865556 PECOS PAC ID: 8224125869 Enrollment ID: O20071030000310 |
| Entity Name | Afc Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205268208 PECOS PAC ID: 2769616762 Enrollment ID: O20131007000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Hodes Orcino, PA 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Jacquelyn Hodes Orcino, PA 180 N Watersound Pkwy, Inlet Beach, FL 32461-7274 Ph: (850) 278-3551 |
Ashley Pettet, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 32 Annbella St, Inlet Beach, FL 32461 Phone: 978-880-8888 |