| Pablo Manuel Dejesus, PHYSICIAN ASSISTANT | |
|
Palm Coast Family Practice, 9 Pine Cone Drive, Suite 102, Palm Coast, FL 32137 | |
| (386) 445-6191 | |
| (386) 445-3916 |
| Full Name | Pablo Manuel Dejesus |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | Palm Coast Family Practice, Palm Coast, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013176031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9114008 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Bravery Home Healthcare | St augustine, FL | Home health agency |
| Adventhealth Palm Coast | Palm coast, FL | Hospital |
| Adventhealth Palm Coast Parkway | Palm coast, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palm Harbor Family Practice And Walk-in Clinic, P.a | 9133108541 | 7 |
| Entity Name | Palm Harbor Family Practice and Walk-in Clinic, P.a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831311810 PECOS PAC ID: 9133108541 Enrollment ID: O20040719000940 |
| Mailing Address | Practice Location Address |
|---|---|
| Pablo Manuel Dejesus, PHYSICIAN ASSISTANT 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137-8683 Ph: (386) 445-6191 | Pablo Manuel Dejesus, PHYSICIAN ASSISTANT Palm Coast Family Practice, 9 Pine Cone Drive, Suite 102, Palm Coast, FL 32137 Ph: (386) 445-6191 |
Jenissa Denee Leite Da Silva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164 Phone: 386-586-1955 Fax: 386-586-1959 |
Tina R Ellison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 1-800a, Palm Coast, FL 32164 Phone: 386-302-1365 |
Mr. Frank Jacob Yavorosky, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Adventhealth Way Ste 210, Palm Coast, FL 32137 Phone: 386-302-1360 Fax: 386-302-1361 |
Savannah Crist Munier, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 37 Old Kings Rd, Palm Coast, FL 32137 Phone: 386-225-4607 Fax: 386-276-3172 |
Gary W. Morse, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2010 |
Kate Loftis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Cypress Edge Dr Ste 102, Palm Coast, FL 32164 Phone: 386-586-4280 Fax: 386-586-4286 |
Mr. David Butler, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Office Park Dr, Palm Coast, FL 32137 Phone: 386-447-6615 |