| Justin Butler, PMHNP-BC | |
|
1542 Kingsley Ave Ste 136-137, Orange Park, FL 32073-4586 | |
| (239) 690-6906 | |
| Not Available |
| Full Name | Justin Butler |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1542 Kingsley Ave Ste 136-137, Orange Park, 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 |
|---|---|---|---|
| 1538989264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11035870 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dna Comprehensive Therapy Services Llc | 2860619632 | 341 |
| Entity Name | Dna Comprehensive Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Butler, PMHNP-BC 4153 Fishing Creek Ln, Middleburg, FL 32068-3986 Ph: (904) 210-4701 | Justin Butler, PMHNP-BC 1542 Kingsley Ave Ste 136-137, Orange Park, FL 32073-4586 Ph: (239) 690-6906 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 | |
Erica Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1279 Kingsley Ave Ste 102, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769 |