| Jerry Wayne Wharton Ii, | |
|
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | |
| (276) 207-3108 | |
| Not Available |
| Full Name | Jerry Wayne Wharton Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 303 N Clyde Morris Blvd, Daytona Beach, 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 |
|---|---|---|---|
| 1154069292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9117163 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Services Of Zephyrhills Pa | 6204924921 | 51 |
| Inphynet Contracting Services Llc | 7416865811 | 169 |
| Halifax Healthcare Systems Inc | 1254238090 | 345 |
| Entity Name | Inphynet Contracting Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| 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 |
| Entity Name | Emergency Services of Zephyrhills PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265631097 PECOS PAC ID: 6204924921 Enrollment ID: O20071114000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Wayne Wharton Ii, 3145 S Atlantic Ave Apt 1203, Daytona Beach, FL 32118-6274 Ph: Not Available | Jerry Wayne Wharton Ii, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (276) 207-3108 |
Rhonda Lee Gleason, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602 |
Brent Wilkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 |
Angelica Diez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000 |
Savanna Hanh Duong, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 877-842-5432 |
Celeste Nadine Welch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117 Phone: 386-231-3513 Fax: 386-231-3612 |
Armando Fernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 |
Marissa Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117 Phone: 386-231-3540 |