Mrs Chandler Larsen Yeazitzis, PA-C in Jacksonville, FL

Mrs Chandler Larsen Yeazitzis, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jacksonville, Florida. Her current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 308-7300.

Mrs Chandler Larsen Yeazitzis is licensed to practice in Florida (license number PA9109042) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245609189.

Contact Information

	Mrs Chandler Larsen Yeazitzis, PA-C
	1 Shircliff Way, Jacksonville, FL 32204-4748
	(904) 308-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Chandler Larsen Yeazitzis
Gender	Female
Speciality	Physician Assistant - Medical
Location	1 Shircliff Way, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245609189
Provider Enumeration Date: 09/22/2015
Last Update Date: 11/09/2015

Medicare PECOS Information:

PECOS PAC ID: 3779884853
Enrollment ID: I20151214002727

Medical Identifiers

Medical identifiers for Mrs Chandler Larsen Yeazitzis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245609189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9109042 (Florida)	Secondary
363AM0700X	Physician Assistant - Medical	PA9109042 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Chandler Larsen Yeazitzis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Chandler Larsen Yeazitzis, PA-C 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325	Mrs Chandler Larsen Yeazitzis, PA-C 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300

Reviews and Comments

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Mrs Chandler Larsen Yeazitzis, PA-C - Medicare Physician Assistant in Jacksonville, FL