| Kathleen Mckenna Ruhlin Primm, PA-C | |
|
14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258-5473 | |
| (904) 262-3372 | |
| (904) 262-3306 |
| Full Name | Kathleen Mckenna Ruhlin Primm |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 14546 Old Saint Augustine Rd Ste 407, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104267749 | NPI | - | NPPES |
| 0093695 | Medicaid | OH | |
| 129931800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109278 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 50.003862 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Orange Park Hospital | Orange park, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Trauma Services Llc | 3971985938 | 92 |
| Entity Name | Florida Trauma Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477296952 PECOS PAC ID: 3971985938 Enrollment ID: O20220808001578 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Mckenna Ruhlin Primm, PA-C 11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Kathleen Mckenna Ruhlin Primm, PA-C 14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258-5473 Ph: (904) 262-3372 |
Katherine L Walsh, PA-C/MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Teresa Louise Cowan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207 Phone: 904-396-6620 Fax: 904-396-6528 |
Mrs. Melina Volner Sommese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2594 Fax: 904-953-6225 |
Mr. Thomas Matthew Mattox Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218 Phone: 904-223-3321 |
Kyle Hollingsworth, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 |
Jessica Defazio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1400, Jacksonville, FL 32207 Phone: 904-388-6518 Fax: 904-384-1005 |
Hangyu Shen Watson, M.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |