| Jennifer Lynn Rake, PA-C | |
|
77 W Granada Blvd, Ormond Beach, FL 32174-6302 | |
| (386) 677-0453 | |
| (386) 677-0463 |
| Full Name | Jennifer Lynn Rake |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 77 W Granada Blvd, Ormond 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 |
|---|---|---|---|
| 1215447784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9110633 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Adventhealth Home Health | Ormond beach, FL | Home health agency |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth Palm Coast | Palm coast, FL | Hospital |
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ormond Medical Arts | 1254222565 | 38 |
| Entity Name | Ormond Medical Arts |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326254962 PECOS PAC ID: 1254222565 Enrollment ID: O20040324000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Rake, PA-C 77 W Granada Blvd, Ormond Beach, FL 32174-6302 Ph: (386) 677-0453 | Jennifer Lynn Rake, PA-C 77 W Granada Blvd, Ormond Beach, FL 32174-6302 Ph: (386) 677-0453 |
Neha D Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1245 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-317-9055 |
Kristen Noel Barnekov Rulka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174 Phone: 386-673-5100 Fax: 386-673-6014 |
Rafat Shafik Iskander, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Clyde Morris Blvd, Ste A, Ormond Beach, FL 32174 Phone: 386-677-0987 |
Beata Teich, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Clyde Morris Blvd, Suite 340, Ormond Beach, FL 32174 Phone: 386-677-9685 |
Mrs. Kimberly Milligan Shapiro, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 461 S Nova Rd, Ormond Beach, FL 32174 Phone: 386-671-4337 |
Angelica Ray Kraus, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 128 Lynwood Ln, Ormond Beach, FL 32174 Phone: 386-453-8680 |
Meg Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174 Phone: 386-677-9044 Fax: 386-677-3083 |