| Mrs Juanita Denae Bracy, PA-C, MPA, ATC, MED | |
|
3055 County Road 210 W Ste 110, St Johns, FL 32259-7001 | |
| (214) 580-7277 | |
| Not Available |
| Full Name | Mrs Juanita Denae Bracy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 3055 County Road 210 W Ste 110, St Johns, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396855813 | NPI | - | NPPES |
| PA15256 | Medicaid | TX | |
| 0070402592 | Other | CA | NATA BOC |
| 125670500 | Medicaid | FL | |
| 0126000864 | Other | VA | ATC VIRGINIA LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Orthopedic Specialists Llc | 1456246974 | 144 |
| Entity Name | Southeast Orthopedic Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Juanita Denae Bracy, PA-C, MPA, ATC, MED 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Mrs Juanita Denae Bracy, PA-C, MPA, ATC, MED 3055 County Road 210 W Ste 110, St Johns, FL 32259-7001 Ph: (214) 580-7277 |
Weston Blake Mills, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1820 State Road 13 N Ste 11-926, St Johns, FL 32259 Phone: 888-730-5220 Fax: 888-524-8166 |
Sylvia Lyn Yarbrough, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 Bartram Market Dr Ste 120, St Johns, FL 32259 Phone: 904-650-2193 Fax: 904-201-6350 |
Ms. Allison Beth Hentkowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-652-0800 Fax: 904-652-0811 |
Kristin Midkiff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4580 Race Track Rd Ste 102, St Johns, FL 32259 Phone: 904-679-3537 |
Natalia Trikoz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 Village Oaks Dr, St Johns, FL 32259 Phone: 904-240-0442 |
Desteni Mariah Barnes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-398-7205 Fax: 904-652-0811 |
Emily Catherine Baron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-652-0800 Fax: 904-652-0811 |