| Mr Patrick Alen Willett, PA | |
|
4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410-4627 | |
| (561) 694-7776 | |
| (561) 694-3099 |
| Full Name | Mr Patrick Alen Willett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 4215 Burns Rd Ste 100, Palm Beach Gardens, 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 |
|---|---|---|---|
| 1598002461 | NPI | - | NPPES |
| 008194300 | Medicaid | FL | |
| GZ917Z | Other | FL | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA 9107033 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9107033 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jupiter Medical Center | Jupiter, FL | Hospital |
| Bethesda Hospital East | Boynton beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Practitioners, Llc | 1658688304 | 63 |
| Ap Of Nashville, Llc | 7012206733 | 20 |
| Entity Name | Florida Practitioners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528456548 PECOS PAC ID: 1658688304 Enrollment ID: O20150914001996 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Patrick Alen Willett, PA 4215 Burns Rd Ste 200, Palm Beach Gardens, FL 33410-4625 Ph: (561) 694-7776 | Mr Patrick Alen Willett, PA 4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410-4627 Ph: (561) 694-7776 |
Vera Gumiela Gray, MMS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Village Square Xing Ste 170, Palm Beach Gardens, FL 33410 Phone: 561-627-8500 Fax: 844-959-0418 |
Ketnie Chery Philius, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 327 Sandtree Dr, Palm Beach Gardens, FL 33403 Phone: 786-290-7041 |
Jeannette Marie Perry, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13655 Pasteur Blvd, Palm Beach Gardens, FL 33418 Phone: 728-236-7000 Fax: 728-236-7166 |
Brooke Anna Goldman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410 Phone: 561-694-7776 Fax: 561-694-3099 |
Kamryn Renae Quinn, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Village Square Xing, Palm Beach Gardens, FL 33410 Phone: 561-427-8055 |
Nicole Alley Hastaba, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410 Phone: 561-776-7041 |
Mrs. Cecilia A Bustamante, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3345 Burns Rd Ste 302, Palm Beach Gardens, FL 33410 Phone: 561-622-7661 Fax: 561-622-4651 |