| Rhianna Fagan, APRN | |
|
150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259-7529 | |
| (904) 652-0800 | |
| Not Available |
| Full Name | Rhianna Fagan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 150 Longleaf Pine Pkwy Ste 200, St 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 |
|---|---|---|---|
| 1265296263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11031165 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Borland Groover Clinic, Pa | 6507761301 | 118 |
| Entity Name | Borland Groover Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881644912 PECOS PAC ID: 6507761301 Enrollment ID: O20031204000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Rhianna Fagan, APRN 4800 Belfort Rd, Jacksonville, FL 32256-6004 Ph: (904) 398-7205 | Rhianna Fagan, APRN 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259-7529 Ph: (904) 652-0800 |
Denise Pollock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1029 Buttercup Dr, St Johns, FL 32259 Phone: 540-793-1563 | |
Urdif T Encarnacion, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 432 Chandler Dr, St Johns, FL 32259 Phone: 786-612-1213 Fax: 786-612-1213 | |
Snehalben Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 N Arabella Way, St Johns, FL 32259 Phone: 904-718-4668 | |
Dana M Hatwig, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 State Road 13 Ste 106-493, St Johns, FL 32259 Phone: 904-517-8900 | |
Korinne Reilly, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Charmed Pl, St Johns, FL 32259 Phone: 360-672-6032 | |
Micaela Harrison, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3055 County Road 210 W Ste 105, St Johns, FL 32259 Phone: 904-223-9100 |