| Samantha Johns, | |
|
12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | |
| (813) 745-7365 | |
| (813) 449-8618 |
| Full Name | Samantha Johns |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 12902 Usf Magnolia Dr, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881277085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9114267 (Florida) | Primary |
| Entity Name | Wellmed Medical Management of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033395397 PECOS PAC ID: 3971678558 Enrollment ID: O20080815000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Johns, Po Box 198441, Atlanta, GA 30384-8441 Ph: (813) 745-7365 | Samantha Johns, 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-7365 |
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 |
Frances Ivelisse Bernardo Mercado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |
Kyle Fernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7000 |
Maheen Rahim Jussab Ismail, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 |