| 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. |
|---|---|
| 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 |