| Jennifer Legg, | |
|
925 N Stone St, Deland, FL 32720-2521 | |
| (386) 734-6007 | |
| Not Available |
| Full Name | Jennifer Legg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 925 N Stone St, Deland, 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 |
|---|---|---|---|
| 1043976764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9115840 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Hospital Partners Of Oklahoma | 6800241225 | 24 |
| Entity Name | Elite Hospital Partners of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104404 PECOS PAC ID: 6800241225 Enrollment ID: O20231025002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Legg, 97 Courage Loop, Fort Stewart, GA 31315-5876 Ph: (254) 319-0234 | Jennifer Legg, 925 N Stone St, Deland, FL 32720-2521 Ph: (386) 734-6007 |
Mr. Nicholas V Baroni, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 740 W Plymouth Ave, Deland, FL 32720 Phone: 386-734-9122 |
Casey V Wilson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 999 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-7080 Fax: 386-734-0821 |
Dennis C Kee, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 929 N Spring Garden Ave Ste 170, Deland, FL 32720 Phone: 386-738-9144 Fax: 877-245-1597 |
David Bednov, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-4522 |
Kristen Suzanne Gillespy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 740 W Plymouth Ave, Deland, FL 32720 Phone: 386-734-9122 |
Mr. Peter Lindland, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 526 Land O Lakes Ct, Deland, FL 32724 Phone: 386-490-6036 |
Michael R Carpino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W Plymouth Ave, Deland, FL 32720 Phone: 866-400-3376 Fax: 386-738-0628 |