| Mrs Kelly Auclair, APRN | |
|
316 Paseo Reyes Dr, St Augustine, FL 32095-8464 | |
| (903) 544-5800 | |
| (903) 544-5800 |
| Full Name | Mrs Kelly Auclair |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 316 Paseo Reyes Dr, St Augustine, 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 |
|---|---|---|---|
| 1013898758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11041885 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bold City Dermatology Llc | 2769897974 | 4 |
| Entity Name | Bold City Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538761655 PECOS PAC ID: 2769897974 Enrollment ID: O20210222001927 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Auclair, APRN 316 Paseo Reyes Dr, St Augustine, FL 32095-8464 Ph: Not Available | Mrs Kelly Auclair, APRN 316 Paseo Reyes Dr, St Augustine, FL 32095-8464 Ph: (903) 544-5800 |
Dr. Lilia Diaz Pino, PH.D., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 866-389-2727 |
Mrs. Yvonne Derickson, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 Ashourian Ave Ste 209, St Augustine, FL 32092 Phone: 904-800-7246 Fax: 904-299-4116 |
Rezwana Chowdhury, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Tidal Beach Ave, St Augustine, FL 32095 Phone: 804-852-2497 |
Kay Lewis Hood, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Whitehall Dr, St Augustine, FL 32086 Phone: 904-800-7246 |
Joann Fritsch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, St Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 |
Rachel Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 352-373-2507 |
Melissa Spies, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2867 N 9th St, St Augustine, FL 32084 Phone: 904-999-7631 |