| Leah M Rose, APRN | |
|
1310 County Road 210 W, Saint Johns, FL 32259 | |
| (904) 824-4407 | |
| (904) 390-7459 |
| Full Name | Leah M Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1310 County Road 210 W, Saint Johns, 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 |
|---|---|---|---|
| 1336769934 | NPI | - | NPPES |
| 110108400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11006156 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11006156 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 420 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Entity Name | N E Florida Internal Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487724993 PECOS PAC ID: 6406947167 Enrollment ID: O20070809000383 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah M Rose, APRN Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Leah M Rose, APRN 1310 County Road 210 W, Saint Johns, FL 32259 Ph: (904) 824-4407 |
Shivani Patel, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 N Big Cypress Dr Apt 351, Saint Johns, FL 32259 Phone: 832-484-8361 | |
Mrs. Sherri Annette D'agata, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3472 Babiche St, Saint Johns, FL 32259 Phone: 904-228-5333 | |
Gina Kay Sexton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Northbridge Ct, Saint Johns, FL 32259 Phone: 904-612-7461 | |
Katherine Male, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Saint Johns Commons Rd, Saint Johns, FL 32259 Phone: 866-389-2727 | |
Dr. Jessica Anne Raines, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2220 County Rd 210 W, Suite 108, #248, Saint Johns, FL 32259 Phone: 904-460-3806 Fax: 866-877-6400 | |
Robert D Yarbrough, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Celtic Wedding Dr, Saint Johns, FL 32259 Phone: 904-535-0636 | |
Clay Grimes, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 564 Redberry Ln, Saint Johns, FL 32259 Phone: 904-806-8262 |