Mrs Ann S Payne, NP-C | |
10820 Marvin Jones Blvd, Live Oak, FL 32064-8243 | |
(386) 658-5300 | |
Not Available |
Full Name | Mrs Ann S Payne |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10820 Marvin Jones Blvd, Live Oak, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881096501 | NPI | - | NPPES |
0119469 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.11033229 (Florida) | Primary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ann S Payne, NP-C 10820 Marvin Jones Blvd, Live Oak, FL 32064-8243 Ph: (386) 658-5300 | Mrs Ann S Payne, NP-C 10820 Marvin Jones Blvd, Live Oak, FL 32064-8243 Ph: (386) 658-5300 |
Cheryl Renae Abersold, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Irvin Ave Sw, Live Oak, FL 32064 Phone: 386-330-6380 | |
Mrs. Melania J Willis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Ohio Ave S, Live Oak, FL 32064 Phone: 386-330-5248 Fax: 386-208-1380 | |
Valeria Nicole Randle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Walker Ave Nw, Live Oak, FL 32064 Phone: 386-364-8775 | |
Mrs. Amber Ingram Chauncey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1002 11th St Sw, Live Oak, FL 32064 Phone: 386-364-8050 | |
Susan Michelle Blizzard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Ranchera St Nw, Live Oak, FL 32064 Phone: 386-364-1751 Fax: 386-364-1761 | |
Mrs. Melissa Fay Peters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Ohio Ave S, Live Oak, FL 32064 Phone: 386-364-0776 | |
Kristina Melissa North, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 11th St Sw, Live Oak, FL 32064 Phone: 386-362-0800 |