Paola Jetzabella Kennah, PA-C - Medicare Physician Assistant in Fleming Island, FL

Paola Jetzabella Kennah, PA-C is a medicare enrolled "Physician Assistant" in Fleming Island, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Neuroversion and her current practice location is 2349 Village Square Pkwy Ste 110-111, Fleming Island, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 385-2023.

Paola Jetzabella Kennah is licensed to practice in Florida (license number PA9117136) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972030765.

Contact Information

Paola Jetzabella Kennah, PA-C
2349 Village Square Pkwy Ste 110-111,
Fleming Island, FL 32003-6355
(904) 385-2023
(904) 385-2454

Map and Direction




Provider's Profile

Full NamePaola Jetzabella Kennah
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location2349 Village Square Pkwy Ste 110-111, Fleming Island, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paola Jetzabella Kennah graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1972030765
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345586293
  • Enrollment ID: I20190114001642

Medical Identifiers

Medical identifiers for Paola Jetzabella Kennah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972030765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA9117136 (Florida)Secondary
363AM0700XPhysician Assistant - Medical 139211 (Alaska)Secondary
363A00000XPhysician Assistant PA9117136 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neuroversion70122970629

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paola Jetzabella Kennah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paola Jetzabella Kennah, PA-C
23343 Nw County Road 236,
High Springs, FL 32643-9669

Ph: (386) 454-0698
Paola Jetzabella Kennah, PA-C
2349 Village Square Pkwy Ste 110-111,
Fleming Island, FL 32003-6355

Ph: (904) 385-2023

Reviews and Comments


Physician Assistant Nurses in Fleming Island, FL

Mr. Paul Richard Bretton Jr.,
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Medicare: Accepting Medicare Assignments
Practice Location: 4689 Us Highway 17 Ste 11, Fleming Island, FL 32003
Phone: 904-375-9753    
Alexandra Judith Shoemaker, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2310 Village Square Pkwy Ste 201, Fleming Island, FL 32003
Phone: 904-264-6404    Fax: 904-390-7455
Mrs. Neda Ruth Watanabe, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1679 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003
Phone: 904-264-1958    Fax: 904-264-1677
Justin Anthony Masud, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1681 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003
Phone: 904-493-3333    
Jessica L Jund, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003
Phone: 904-634-0640    Fax: 904-634-0203
Ms. Allison Beth Hentkowski, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4607 Us Highway 17, Fleming Island, FL 32003
Phone: 904-269-4559    Fax: 904-269-4597
Raychel Lee Raymer,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Baptist Clay Dr Ste 300, Fleming Island, FL 32003
Phone: 904-214-8100    Fax: 904-214-8109

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.