| Joella Cauley Hall, ARNP | |
| 3760 Pear Ave, Bunnell, FL 32110-4887 | |
| (386) 793-6628 | |
| (386) 437-5912 | 
| Full Name | Joella Cauley Hall | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3760 Pear Ave, Bunnell, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104080761 | NPI | - | NPPES | 
| P01277790 | Other | KY | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9216912 (Florida) | Primary | 
| 363LF0000X | Nurse Practitioner - Family | 3008318 (Kentucky) | Secondary | 
| Entity Name | Solantic/south Florida Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 | 
| Entity Name | Solantic Of Jacksonville Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 | 
| Entity Name | Hma-solantic Joint Venture Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 | 
| Entity Name | Shands-solantic Joint Venture Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 | 
| Entity Name | Dispatchhealth-florida Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407472723 PECOS PAC ID: 2668899220 Enrollment ID: O20200827000623 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joella Cauley Hall, ARNP 3760 Pear Ave, Bunnell, FL 32110-4887 Ph: (386) 793-6628 | Joella Cauley Hall, ARNP 3760 Pear Ave, Bunnell, FL 32110-4887 Ph: (386) 793-6628 | 
| Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 800-539-4228 Fax: 386-254-1237 | |
| Amy L. Coopersmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 | |
| Mrs. Deborah A Frazer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 | |
| Mrs. Andrea Jean Thompson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Peach St, Bunnell, FL 32110 Phone: 386-237-4032 | |
| Monique M. Berces-mardenly, FNP, MSN, MPH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 Fax: 386-437-7353 | |
| Mrs. Betty Kachnycz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 Fax: 386-437-8232 |