| Jennifer Elizabeth Faison, PA-C | |
|
1690 Dunlawton Avenue, Suite 210, Port Orange, FL 32127-8980 | |
| (386) 763-4920 | |
| (386) 763-4939 |
| Full Name | Jennifer Elizabeth Faison |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1690 Dunlawton Avenue, Port Orange, 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 |
|---|---|---|---|
| 1902088586 | NPI | - | NPPES |
| PA9104338 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9104338 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Halifax Healthcare Systems Inc | 1254238090 | 345 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Elizabeth Faison, PA-C 1690 Dunlawton Avenue, Suite 210, Port Orange, FL 32127-8980 Ph: (386) 763-4920 | Jennifer Elizabeth Faison, PA-C 1690 Dunlawton Avenue, Suite 210, Port Orange, FL 32127-8980 Ph: (386) 763-4920 |
Keri Long Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127 Phone: 386-425-4787 Fax: 386-425-4788 |
Mr. Matthew John Morrison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127 Phone: 386-763-4920 Fax: 386-763-4939 |
Pamela Ross, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 802 Dunlawton Ave, Institute For Wellbeing Suite 102, Port Orange, FL 32127 Phone: 386-763-2338 |
Zachary King Roberts, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1208 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-7320 |
Katie Weisz Cremata, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-7842 Fax: 386-756-8802 |
Sidney Celine Moore, PHYSICIAN ASSISTANT Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1728 Dunlawton Ave Ste 5, Port Orange, FL 32127 Phone: 386-304-3404 |
Mrs. Joanna Elizabeth Stoverink, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802 |