| Kelly Maria Medina, | |
|
2801 Ne 213th St Ste 1001, Aventura, FL 33180-1265 | |
| (305) 466-9111 | |
| (305) 466-9127 |
| Full Name | Kelly Maria Medina |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 2801 Ne 213th St Ste 1001, Aventura, 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 |
|---|---|---|---|
| 1225738545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9119158 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesiscare Usa Of Florida Llc | 9830082882 | 175 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Maria Medina, 3450 Sw 124th Ave, Miramar, FL 33027-2941 Ph: () - | Kelly Maria Medina, 2801 Ne 213th St Ste 1001, Aventura, FL 33180-1265 Ph: (305) 466-9111 |
Matthew Dzwonkiewicz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21000 Ne 28th Ave, Suite 104, Aventura, FL 33180 Phone: 305-937-1999 | |
Ms. Judith Avinoa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2925 Aventura Blvd, S.205, Aventura, FL 33180 Phone: 305-933-6716 | |
Catalina Galvis, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180 Phone: 786-401-4599 | |
Chenelle Stanford, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20900 Biscayne Blvd, Aventura, FL 33180 Phone: 305-935-1110 | |
Ms. Julie Imperatori, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2925 Aventura Blvd, S.205, Aventura, FL 33180 Phone: 305-933-6716 | |
Vanessa Stark, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 Ne 213th St Ste 1001, Aventura, FL 33180 Phone: 305-466-9111 Fax: 305-466-9127 | |
Ms. Jenna R Dykstra, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21550 Biscayne Blvd Ste 202a, Aventura, FL 33180 Phone: 057-070-3683 |