| Mr Paul M Kilpatrick, PAC | |
|
12301 Se Us Highway 441 Ste C, Belleview, FL 34420-4578 | |
| (352) 404-4288 | |
| (833) 449-3827 |
| Full Name | Mr Paul M Kilpatrick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 12301 Se Us Highway 441 Ste C, Belleview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780620278 | NPI | - | NPPES |
| 099295400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2079 (Florida) | Primary |
| Entity Name | Cfcf Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740206127 PECOS PAC ID: 3274541685 Enrollment ID: O20060327000736 |
| Entity Name | Roger Roque MD LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205571015 PECOS PAC ID: 3779962451 Enrollment ID: O20220627002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul M Kilpatrick, PAC 12301 Se Us Highway 441 Ste C, Belleview, FL 34420-4578 Ph: (352) 404-4288 | Mr Paul M Kilpatrick, PAC 12301 Se Us Highway 441 Ste C, Belleview, FL 34420-4578 Ph: (352) 404-4288 |
Mrs. Mukti B Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5051 Se 110th St, Belleview, FL 34420 Phone: 352-245-9157 Fax: 352-245-3031 |
Daphne R Charles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9973 Se 58th Ave Unit 104, Belleview, FL 34420 Phone: 352-693-4777 |
Mr. Michael Crimi Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10762 Se Us Highway 441, Belleview, FL 34420 Phone: 352-347-5225 Fax: 325-347-7977 |
Harriett Williemae Smith-mckinney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10762 Se Us Highway 441, Belleview, FL 34420 Phone: 352-347-5225 Fax: 352-347-1073 |
Susan E. Bonenclark, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5051 Se 110th St, Belleview, FL 34420 Phone: 352-674-1730 Fax: 352-674-8930 |
Robert Arthur Hoffman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4720 Se 120th St, Belleview, FL 34420 Phone: 352-322-3159 |