| Kenneth Brian Lee, | |
|
260 Birkdale Dr, Daytona Beach, FL 32124-2050 | |
| (804) 896-5091 | |
| Not Available |
| Full Name | Kenneth Brian Lee |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 260 Birkdale Dr, Daytona Beach, 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 |
|---|---|---|---|
| 1376010694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9112062 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Md Now Medical Centers Inc | 3971554825 | 314 |
| Entity Name | MD Now Medical Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033195474 PECOS PAC ID: 3971554825 Enrollment ID: O20050208000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Brian Lee, 12603 Hogans Aly, Chester, VA 23836-8600 Ph: (804) 896-5091 | Kenneth Brian Lee, 260 Birkdale Dr, Daytona Beach, FL 32124-2050 Ph: (804) 896-5091 |
Rhonda Lee Gleason, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602 |
Brent Wilkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117 Phone: 386-255-4596 Fax: 386-258-3561 |
Angelica Diez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000 |
Savanna Hanh Duong, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 877-842-5432 |
Celeste Nadine Welch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117 Phone: 386-231-3513 Fax: 386-231-3612 |
Armando Fernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 |
Marissa Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117 Phone: 386-231-3540 |