| Mr Gregory Fenn, PA | |
|
918 Nw 120th St, Gainesville, FL 32606-0438 | |
| (352) 359-5162 | |
| Not Available |
| Full Name | Mr Gregory Fenn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 918 Nw 120th St, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225410426 | NPI | - | NPPES |
| 015332300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9108811 (Florida) | Primary |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Emergency Medical Specialists of Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
| Entity Name | St Vincent's Full Service Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20130220000322 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory Fenn, PA Po Box 100186, Gainesville, FL 32610-0186 Ph: (352) 265-5911 | Mr Gregory Fenn, PA 918 Nw 120th St, Gainesville, FL 32606-0438 Ph: (352) 359-5162 |
Ann Lauren Robinson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7046 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-733-1772 Fax: 352-372-5164 |
Mrs. Elizma Eksteen Mercier, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5612 Nw 43rd St, Gainesville, FL 32653 Phone: 352-376-4542 |
Elizabeth Burford Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-5501 |
Erica Lynn Iketani, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610 Phone: 352-265-0462 |
Ms. Lauren Emily Culbreth, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1699 Sw 16th Ave, Gainesville, FL 32608 Phone: 352-334-1300 Fax: 352-334-1348 |
Javier Gonzalez, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7540 W University Ave, Gainesville, FL 32607 Phone: 352-647-9700 |
Ms. Julia Adams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-5550 Fax: 352-273-5575 |