| Jessica Bell, PA-C | |
|
1722 Sw Newland Way, Lake City, FL 32025-6915 | |
| (386) 344-6102 | |
| (386) 344-6103 |
| Full Name | Jessica Bell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1722 Sw Newland Way, Lake City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619300944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107350 (Florida) | Primary |
| Entity Name | The Primary Care Center of Lake City Richard L. Wright Jr MD |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366460297 PECOS PAC ID: 7315942851 Enrollment ID: O20060915000508 |
| Entity Name | North Florida Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689023830 PECOS PAC ID: 9830486166 Enrollment ID: O20160929001645 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Bell, PA-C 1722 Sw Newland Way, Lake City, FL 32025-6915 Ph: (386) 344-6102 | Jessica Bell, PA-C 1722 Sw Newland Way, Lake City, FL 32025-6915 Ph: (386) 344-6102 |
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 |