| Jennifer Koeller, PA-C | |
|
700 Doctors Ct, Leesburg, FL 34748-7314 | |
| (352) 787-9838 | |
| (352) 787-8705 |
| Full Name | Jennifer Koeller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 700 Doctors Ct, 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 |
|---|---|---|---|
| 1043625809 | NPI | - | NPPES |
| PA9108194 | Other | FL | MEDICAL LICENSE |
| UM361 | Other | FL | MEDICARE HF |
| 117870300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00337400 (New Jersey) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9108194 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group, Llc | 7416100672 | 701 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Heart of the Villages PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659671774 PECOS PAC ID: 1850560954 Enrollment ID: O20110805000723 |
| Entity Name | Health First Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Koeller, PA-C Po Box 3130, Ocala, FL 34478-3130 Ph: (352) 867-3262 | Jennifer Koeller, PA-C 700 Doctors Ct, Leesburg, FL 34748-7314 Ph: (352) 787-9838 |
Nancy Reevs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-559-5051 |
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 |
Guerda Etienne, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 312 S Lake St, Leesburg, FL 34748 Phone: 352-314-9300 Fax: 352-314-9212 |
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 |