| Mr Brian Christopher Creghan I, PA-C | |
|
21815 Se 71st Ave, Hawthorne, FL 32640-3974 | |
| (352) 481-5700 | |
| (352) 481-5750 |
| Full Name | Mr Brian Christopher Creghan I |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 21815 Se 71st Ave, Hawthorne, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023138708 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne , FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Doctors Intrastate Llc | 5395161186 | 74 |
| Entity Name | Roy H Hinman MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
| Entity Name | Island Doctors Intrastate LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Christopher Creghan I, PA-C 2460 Old Moultrie Rd Ste 1, St Augustine, FL 32086-4198 Ph: (904) 797-5740 | Mr Brian Christopher Creghan I, PA-C 21815 Se 71st Ave, Hawthorne, FL 32640-3974 Ph: (352) 481-5700 |
Alyssa Henry Proffitt, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 212 Lake Ray Rd, Hawthorne, FL 32640 Phone: 352-284-1402 |
Mr. Brian Scott Brooks, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 22066 Se 71st Ave, Hawthorne, FL 32640 Phone: 352-481-2700 Fax: 352-481-2392 |
Joseph Morgan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21815 Se 71st Ave, Hawthorne, FL 32640 Phone: 352-481-5700 |