| Jeral W Carr, PA-C | |
|
1289 Sw State Road 47, Lake City, FL 32025-0484 | |
| (386) 755-0421 | |
| (386) 487-1234 |
| Full Name | Jeral W Carr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 1289 Sw State Road 47, Lake City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326002452 | NPI | - | NPPES |
| 363A00000X | Other | FL | TAXONOMY CODE |
| PA9102567 | Other | FL | MEDICAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102567 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Medical Urgent Care Center | 1456578665 | 8 |
| Entity Name | Mercy Medical Urgent Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891113064 PECOS PAC ID: 1456578665 Enrollment ID: O20140812002219 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeral W Carr, PA-C 1289 Sw State Road 47, Lake City, FL 32025-0484 Ph: (386) 755-0421 | Jeral W Carr, PA-C 1289 Sw State Road 47, Lake City, FL 32025-0484 Ph: (386) 755-0421 |
Kelley D Holland, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Nw Commerce Dr, Lake City, FL 32055 Phone: 386-719-9000 |
Marianne Larsen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 |
Mr. Shawn Waugh, PA -L Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4355 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6094 Fax: 386-758-6995 |
Eligio Loperena Jr., P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 368 Ne Franklin St, Lake City, FL 32055 Phone: 386-754-8000 |
Karen Marshall, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Commerce Dr, Suite 101, Lake City, FL 32025 Phone: 386-755-2240 Fax: 386-755-6598 |
Mr. John Geary Windham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 373 Se Country Club Rd, Lake City, FL 32025 Phone: 386-755-8909 |
Alden Ann Mustard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 216 Se Corrections Way, Lake City, FL 32025 Phone: 386-292-7054 |