| Kimberly Eccher, PA | |
|
1820 State Road 13 Ste 11-926, Saint Johns, FL 32259-8856 | |
| (888) 730-5220 | |
| Not Available |
| Full Name | Kimberly Eccher |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1820 State Road 13 Ste 11-926, Saint Johns, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063906865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008705 (Michigan) | Primary |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851309884 PECOS PAC ID: 4981506508 Enrollment ID: O20040216000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Eccher, PA 1820 State Road 13 Ste 11-926, Saint Johns, FL 32259-8856 Ph: (888) 730-5220 | Kimberly Eccher, PA 1820 State Road 13 Ste 11-926, Saint Johns, FL 32259-8856 Ph: (888) 730-5220 |
Mary Stephens Mathis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 |
Chase Baruch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Saint Elizabeth Way Ste 270, Saint Johns, FL 32259 Phone: 904-691-1001 Fax: 904-691-1002 |
Victoria Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Village Oaks Dr, Saint Johns, FL 32259 Phone: 904-240-0442 |
Irina Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1633 Race Track Rd, Saint Johns, FL 32259 Phone: 786-614-3155 |
Tyler Lelio, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3735 Longleaf Pine Pkwy Ste 207, Saint Johns, FL 32259 Phone: 904-201-3271 |
Michael Mazzoni, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Leese Dr, Saint Johns, FL 32259 Phone: 210-243-5456 |
Pamela H Montano, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050 Saint Johns Pkwy Ste 106, Saint Johns, FL 32259 Phone: 904-526-7480 |