| Mr Jason Vogt, PA | |
|
110 Longwood Ave, Rockledge, FL 32955-2828 | |
| (321) 637-3000 | |
| Not Available |
| Full Name | Mr Jason Vogt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 110 Longwood Ave, Rockledge, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871528406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 001649 (Connecticut) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9107868 (Florida) | Primary |
| Entity Name | Melbourne Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932562915 PECOS PAC ID: 2860783925 Enrollment ID: O20160620002409 |
| Entity Name | Rockledge Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306200522 PECOS PAC ID: 5092006619 Enrollment ID: O20160628002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Vogt, PA 931 Fairfax Park, Tuscaloosa, AL 35406-2805 Ph: (205) 343-7301 | Mr Jason Vogt, PA 110 Longwood Ave, Rockledge, FL 32955-2828 Ph: (321) 637-3000 |
Debra L Babcock, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 830 Executive Ln Ste 1110, Rockledge, FL 32955 Phone: 321-394-8000 Fax: 321-394-8002 |
Daniel Daniels, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 800-476-8646 Fax: 919-382-3210 |
Mrs. Alexis Best, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1286 Florida Ave S Ste 1, Rockledge, FL 32955 Phone: 321-636-7780 Fax: 321-636-1152 |
Deven Metzger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 800-476-8646 Fax: 919-382-3210 |
Stephen Bodie Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1950 Rockledge Blvd, Rockledge, FL 32955 Phone: 321-636-0005 Fax: 321-636-9030 |
Jacinta Jean Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Rockledge Blvd, Rockledge, FL 32955 Phone: 321-735-8960 |
Alexandra Ruby Bennett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Barton Blvd Unit C-14, Rockledge, FL 32955 Phone: 321-241-6800 Fax: 321-241-6890 |