| Mr Daniel E Verdine, PA-C | |
|
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
| (352) 787-9838 | |
| (352) 787-8705 |
| Full Name | Mr Daniel E Verdine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 600 E Dixie Ave, Leesburg, 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 |
|---|---|---|---|
| 1295161099 | NPI | - | NPPES |
| 132669300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MV0900111 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 017016 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Robert Packer Hospital | Sayre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Medical Group Pc | 6002728656 | 795 |
| Rochester General Hospital | 0244149474 | 1192 |
| Osf Multi-specialty Group | 3678889789 | 2123 |
| Entity Name | Guthrie Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel E Verdine, PA-C 1425 Portland Ave, Rochester, NY 14621-3001 Ph: Not Available | Mr Daniel E Verdine, PA-C 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 787-9838 |
Nancy Reevs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-559-5051 |
Jennifer Koeller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 |
Dr. Robert Bernard, MD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 516-444-1494 Fax: 352-323-5529 |
Mrs. Noreen M Godfrey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 608 S 9th St Ste C, Leesburg, FL 34748 Phone: 813-321-1786 Fax: 813-321-1787 |
Jada Ryan Carpenter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 353-323-5762 |
Guerda Etienne, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 312 S Lake St, Leesburg, FL 34748 Phone: 352-314-9300 Fax: 352-314-9212 |
Miss Martha Ann Olson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Plaza Dr, Leesburg, FL 34748 Phone: 352-326-8115 Fax: 352-326-5282 |