| Mrs Kelly Bumgarner, PA | |
|
1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | |
| (904) 241-7147 | |
| (901) 241-5492 |
| Full Name | Mrs Kelly Bumgarner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1361 13th Ave S Ste 270, Jacksonville Beach, 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 |
|---|---|---|---|
| 1548714728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109484 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Home Health Care | Jacksonville, FL | Home health agency |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Cardiology, Inc. | 2466614581 | 80 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Bumgarner, PA Po Box 43667, Jacksonville, FL 32203-3667 Ph: (904) 224-5189 | Mrs Kelly Bumgarner, PA 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 Ph: (904) 241-7147 |
Ms. Ingrid Laurinaitis, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1361 13th Ave S, Suite 170a, Jacksonville Beach, FL 32250 Phone: 904-249-4456 Fax: 904-249-7703 | |
Diana Medina, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1351 13th Ave S Ste 110, Jacksonville Beach, FL 32250 Phone: 904-249-9995 Fax: 904-249-9449 | |
Dr. Deborah Lane Ghandour, PA-C, DHSC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1825 3rd St N Ste B, Jacksonville Beach, FL 32250 Phone: 904-595-5826 Fax: 904-595-5827 | |
Ashley Saliba Hill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-241-5492 | |
Samantha Nowakowski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 | |
Mr. Ronnie Dean Baugh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 170a, Jacksonville Beach, FL 32250 Phone: 904-249-4456 Fax: 904-249-7703 | |
Michael D Kring, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-249-0335 Fax: 904-376-4107 |