| Mrs Jenny Maria Dodson, PA-C | |
|
922 E Call St, Starke, FL 32091-3616 | |
| (904) 368-2300 | |
| (386) 292-8295 |
| Full Name | Mrs Jenny Maria Dodson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 922 E Call St, Starke, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720243975 | NPI | - | NPPES |
| 000339800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAT9104645 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9104645 (Florida) | Primary |
| Entity Name | Emergency Medical Specialists of Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
| Entity Name | Legacy Physiatry Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20141014000387 |
| Entity Name | Hni Medical Services of Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jenny Maria Dodson, PA-C 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 Ph: (954) 377-3134 | Mrs Jenny Maria Dodson, PA-C 922 E Call St, Starke, FL 32091-3616 Ph: (904) 368-2300 |
Lenora Sheppard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 922 E Call St, Starke, FL 32091 Phone: 404-723-1959 |
Ms. Gabrielle Perez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 922 E Call St Ste 100, Starke, FL 32091 Phone: 904-364-2900 |
Mr. Thomas Joseph Collins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 Phone: 904-682-2419 Fax: 904-682-3230 |
Mr. Frederick Jason Mcnew, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 922 E Call St, Starke, FL 32091 Phone: 904-368-2300 Fax: 904-368-2306 |
Andrew Lyn Owen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Georgia St, Starke, FL 32091 Phone: 904-364-2900 Fax: 904-364-2901 |
Rylee Wainwright, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 922 E Call St Ste 100, Starke, FL 32091 Phone: 904-364-2900 Fax: 904-364-2901 |
Jessica Luckado Caveny, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14044 Se 48th Ave, Starke, FL 32091 Phone: 904-263-5422 |