| Kerry Hannifin Latka, ARNP | |
|
300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 | |
| (904) 824-8666 | |
| (904) 824-8933 |
| Full Name | Kerry Hannifin Latka |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 300 Health Park Blvd, St Augustine, 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 |
|---|---|---|---|
| 1932521200 | NPI | - | NPPES |
| 010393000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | ARNP 9173044 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagler Hospital | Saint augustine, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulmonary Associates Of St | 0749240018 | 10 |
| Entity Name | Pulmonary Associates Of St |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801999545 PECOS PAC ID: 0749240018 Enrollment ID: O20041012001229 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Hannifin Latka, ARNP 300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 Ph: (904) 824-8666 | Kerry Hannifin Latka, ARNP 300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 Ph: (904) 824-8666 |
Dr. Lilia Diaz Pino, PH.D., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 866-389-2727 | |
Mrs. Yvonne Payne, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Ashourian Ave Ste 209, St Augustine, FL 32092 Phone: 904-800-7246 Fax: 904-299-4116 | |
Mrs. Kelly Auclair, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 903-544-5800 Fax: 903-544-5800 | |
Kay Lewis Hood, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Whitehall Dr, St Augustine, FL 32086 Phone: 904-800-7246 | |
Joann Fritsch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, St Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Rachel Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 352-373-2507 | |
Melissa Spies, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2867 N 9th St, St Augustine, FL 32084 Phone: 904-999-7631 |