| Mary Josephine Sutherland, PA-C | |
|
3189 Us Highway 17, Fleming Island, FL 32003-7109 | |
| (904) 621-0247 | |
| (904) 339-9945 |
| Full Name | Mary Josephine Sutherland |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 3189 Us Highway 17, Fleming Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912927237 | NPI | - | NPPES |
| 291115900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2225 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA2225 (Florida) | Primary |
| Entity Name | Inpatient Consultants of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Josephine Sutherland, PA-C 3189 Highway 17, Green Cove Springs, FL 32043-9371 Ph: (904) 621-0247 | Mary Josephine Sutherland, PA-C 3189 Us Highway 17, Fleming Island, FL 32003-7109 Ph: (904) 621-0247 |
Miss Lauren Elizabeth Jenkins, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1570 Island Ln, Fleming Island, FL 32003 Phone: 904-308-3751 |
Justin Anthony Masud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1681 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003 Phone: 904-493-3333 |
Alexandra Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2349 Village Square Pkwy Ste 110-111, Fleming Island, FL 32003 Phone: 904-385-2023 Fax: 904-637-4953 |
Sydney Griffith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2349 Vlg Sq Pkwy # 110-111, Fleming Island, FL 32003 Phone: 904-385-2023 Fax: 904-385-2454 |
Raychel Lee Raymer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Dr Ste 300, Fleming Island, FL 32003 Phone: 904-214-8100 Fax: 904-214-8109 |
Katelyn Cory, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1810 W Lake Ct, Fleming Island, FL 32003 Phone: 904-716-7412 |
Lindsay Vanderlinde, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003 Phone: 904-634-0640 |