| Mrs Theresa W Dryden, ANP-C | |
|
449621 Us Highway 301 Ste 110, Callahan, FL 32011-9348 | |
| (904) 507-2692 | |
| (904) 507-2693 |
| Full Name | Mrs Theresa W Dryden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 449621 Us Highway 301 Ste 110, Callahan, 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 |
|---|---|---|---|
| 1164408233 | NPI | - | NPPES |
| NP0241 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 11001549 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 765 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528034170 PECOS PAC ID: 3072424282 Enrollment ID: O20100505000869 |
| Entity Name | Midway Specialty Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376970814 PECOS PAC ID: 9638306087 Enrollment ID: O20131211000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa W Dryden, ANP-C 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Mrs Theresa W Dryden, ANP-C 449621 Us Highway 301 Ste 110, Callahan, FL 32011-9348 Ph: (904) 507-2692 |
Faith Ann Adams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
Heather Kirk, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-879-4233 | |
Mrs. Cassandra Hargis, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450671 Sr 200, Callahan, FL 32011 Phone: 904-631-7396 | |
Ms. Donna Lee Irwin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45377 Mickler St, Callahan, FL 32011 Phone: 904-879-2306 Fax: 904-879-6377 | |
Shonda Souther, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542435 Us Highway 1, Callahan, FL 32011 Phone: 904-507-4623 | |
Melissa Thick Cannon, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-879-4233 |