| Laura Khawaja, PA | |
|
9776 Bonita Beach Rd Se Ste 201a, Bonita Springs, FL 34135-4775 | |
| (239) 947-3092 | |
| (239) 947-5298 |
| Full Name | Laura Khawaja |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 9776 Bonita Beach Rd Se Ste 201a, Bonita Springs, 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 |
|---|---|---|---|
| 1821455262 | NPI | - | NPPES |
| O9D5B | Other | FL | BCBS |
| 104522800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109324 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Cancer Specialists And Research Institute, Llc | 2567356058 | 464 |
| Entity Name | Florida Cancer Specialists & Research Institute, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Entity Name | Nchmd Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831120195 PECOS PAC ID: 9436139565 Enrollment ID: O20040721000254 |
| Entity Name | Bayside Urgent Care Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619257755 PECOS PAC ID: 3375700180 Enrollment ID: O20120207000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Khawaja, PA Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Laura Khawaja, PA 9776 Bonita Beach Rd Se Ste 201a, Bonita Springs, FL 34135-4775 Ph: (239) 947-3092 |
Albert Kenneth Jabbour, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9500 Bonita Beach Rd Se Ste 100, Bonita Springs, FL 34135 Phone: 239-498-9294 Fax: 239-798-7179 |
Lina M Quintana, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8991 Brighton Ln, Bonita Springs, FL 34135 Phone: 239-949-3130 Fax: 239-949-8580 |
Kelsey Diane Craft, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24850 S Tamiami Trl Ste 4, Bonita Springs, FL 34134 Phone: 239-319-2200 |
Peter J Wessels, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd, Bonita Springs, FL 34135 Phone: 239-949-1050 |
Carly Szot, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24850 S Tamiami Trl Ste 4, Bonita Springs, FL 34134 Phone: 239-319-2200 |
Robert Richard Pinello, PAC MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd, Suite 2310, Bonita Springs, FL 34135 Phone: 239-992-0558 Fax: 239-992-2663 |
Marlee Vause, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9510 Bonita Beach Road, Suite 101, Bonita Springs, FL 34135 Phone: 239-597-1400 |