| Kristine C Hertzog, PA | |
|
805 Century Medical Dr Ste A, Titusville, FL 32796-2100 | |
| (321) 567-7530 | |
| (321) 225-8723 |
| Full Name | Kristine C Hertzog |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 805 Century Medical Dr Ste A, Titusville, 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 |
|---|---|---|---|
| 1750546040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9104652 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9104652 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Medical Dermatology, Pa | 4688999345 | 9 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine C Hertzog, PA 7725 Millbrook Ave, Melbourne, FL 32940-7812 Ph: (407) 408-4355 | Kristine C Hertzog, PA 805 Century Medical Dr Ste A, Titusville, FL 32796-2100 Ph: (321) 567-7530 |
Karen Menor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1832 Garden St, Ste A, Titusville, FL 32796 Phone: 321-264-1961 Fax: 321-264-0472 | |
Justin Lentz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2335 S Washington Ave, Titusville, FL 32780 Phone: 321-593-0458 | |
Mrs. Jacklyn Alexis Xavier, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3300 Dairy Rd, Titusville, FL 32796 Phone: 321-269-6530 Fax: 321-269-2334 | |
Mr. Paul Thomas Jennings, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 | |
Pauline L Hafer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1840 S Washington Ave, Titusville, FL 32780 Phone: 321-360-5577 | |
Monica M Elliott, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 603 N Washington Ave, Suite 101, Titusville, FL 32796 Phone: 321-268-5008 Fax: 321-607-6690 | |
Mr. John Robert Palmore Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1840 S Washington Ave, Titusville, FL 32780 Phone: 321-360-5577 Fax: 321-806-2087 |