| Mrs Sara Wilson Ellerbe, PA | |
|
1670 St Vincents Way, Middleburg, FL 32068-8447 | |
| (904) 602-1000 | |
| Not Available |
| Full Name | Mrs Sara Wilson Ellerbe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1670 St Vincents Way, Middleburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942890041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9113732 (Florida) | Primary |
| Entity Name | Emergency Medical Specialists of Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sara Wilson Ellerbe, PA 2100 Powell St Ste 400, Emeryville, CA 94608-1872 Ph: Not Available | Mrs Sara Wilson Ellerbe, PA 1670 St Vincents Way, Middleburg, FL 32068-8447 Ph: (904) 602-1000 |
Mrs. Chandler Larsen Yeazitzis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1658 St Vincents Way Ste 300, Middleburg, FL 32068 Phone: 904-276-5100 Fax: 904-276-5393 |
Mr. Peter Allen Rust, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3360 County Road 220, Middleburg, FL 32068 Phone: 904-291-2221 Fax: 904-291-2261 |
Maxwell Samuel Sapolsky, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1658 St Vincents Way Ste 300, Middleburg, FL 32068 Phone: 904-276-5100 Fax: 904-276-5393 |
William David Speer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 College Dr, Suite 104-106, Middleburg, FL 32068 Phone: 904-298-1994 Fax: 904-298-1973 |
Morgan Paige Gavlik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1670 St Vincents Way, Middleburg, FL 32068 Phone: 904-602-1407 |
Heather Lynn Bartoe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way, Suite 100, Middleburg, FL 32068 Phone: 904-634-0640 Fax: 904-634-0203 |
Mr. Scot Joseph Poppell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1670 St Vincents Way, Middleburg, FL 32068 Phone: 904-602-1000 |