| Ms Jennifer Sue Matthews, PA-C | |
|
204 Rockcreek Dr, Saint Johns, FL 32259-3280 | |
| (800) 469-9031 | |
| (949) 695-4231 |
| Full Name | Ms Jennifer Sue Matthews |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 204 Rockcreek Dr, Saint 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 |
|---|---|---|---|
| 1508834631 | NPI | - | NPPES |
| 615514103A | Medicaid | GA | |
| 2923424-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9103372 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Doctors Intrastate Llc | 5395161186 | 74 |
| Roy H Hinman Md Pa | 3173584174 | 9 |
| Entity Name | Roy H Hinman MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
| Entity Name | Island Doctors Intrastate LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
| Entity Name | Vmd Primary Providers Central Florida PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134738974 PECOS PAC ID: 2860806197 Enrollment ID: O20210128001072 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Sue Matthews, PA-C 204 Rockcreek Dr, Saint Johns, FL 32259-3280 Ph: (904) 352-9957 | Ms Jennifer Sue Matthews, PA-C 204 Rockcreek Dr, Saint Johns, FL 32259-3280 Ph: (800) 469-9031 |
Mary Stephens Mathis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 |
Kimberly Eccher, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1820 State Road 13 Ste 11-926, Saint Johns, FL 32259 Phone: 888-730-5220 |
Chase Baruch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Saint Elizabeth Way Ste 270, Saint Johns, FL 32259 Phone: 904-691-1001 Fax: 904-691-1002 |
Victoria Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Village Oaks Dr, Saint Johns, FL 32259 Phone: 904-240-0442 |
Irina Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1633 Race Track Rd, Saint Johns, FL 32259 Phone: 786-614-3155 |
Tyler Lelio, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3735 Longleaf Pine Pkwy Ste 207, Saint Johns, FL 32259 Phone: 904-201-3271 |
Michael Mazzoni, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Leese Dr, Saint Johns, FL 32259 Phone: 210-243-5456 |