| Mrs Kecia S Powell, PA | |
|
200 Avenue F Ne, Winter Haven, FL 33881-4131 | |
| (863) 297-1800 | |
| Not Available |
| Full Name | Mrs Kecia S Powell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 200 Avenue F Ne, Winter Haven, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124070990 | NPI | - | NPPES |
| 291943500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102902 (Florida) | Primary |
| Entity Name | Emergency Physicians of Central Florida LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326033341 PECOS PAC ID: 1850296567 Enrollment ID: O20031205000109 |
| Entity Name | University of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616 |
| Entity Name | Solantic/south Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic of Jacksonville LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Paragon Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Hma-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | Carespot of Orlando Hsi Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kecia S Powell, PA 200 Avenue F Ne, Winter Haven, FL 33881-4131 Ph: (863) 297-1800 | Mrs Kecia S Powell, PA 200 Avenue F Ne, Winter Haven, FL 33881-4131 Ph: (863) 297-1800 |
Heather Bonifay Nelson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 151 2nd St Sw, Winter Haven, FL 33880 Phone: 863-288-0960 Fax: 863-288-0963 |
Mr. Lazaro Yadier Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881 Phone: 863-297-1777 Fax: 863-297-1756 |
Dr. Wilson Omar Rodriguez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 217 E Central Ave, Winter Haven, FL 33880 Phone: 407-315-3637 |
Elizabeth Margaret Ennis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881 Phone: 863-299-2630 |
Shyam Kumar Rajendra Injety, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 |
Erin Doucey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 6th Street Se, Winter Haven, FL 33880 Phone: 863-419-9301 Fax: 863-419-9304 |
Mario Teodoro Rankin, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 1st Street North, Winter Haven, FL 33881 Phone: 863-299-2420 Fax: 863-299-2460 |