| Tammy Pruitt Martinez, PA-C | |
|
9130 R G Skinner Parkway, Jacksonville, FL 32256 | |
| (045) 538-0950 | |
| (904) 538-0952 |
| Full Name | Tammy Pruitt Martinez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 9130 R G Skinner Parkway, Jacksonville, 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 |
|---|---|---|---|
| 1619944154 | NPI | - | NPPES |
| 1619944154 | Other | NPI | |
| 939025129 | Other | RI MEDICARE GROUP NUMBER | |
| PA00359 | Other | RI | RI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9110936 (Florida) | Primary |
| 363A00000X | Physician Assistant | PA00359 (Rhode Island) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Brooks Rehabilitation Hospital University Campus | Jacksonville, FL | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Coast Family Medicine Pa | 4880791375 | 5 |
| Entity Name | First Coast Family Medicine PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558457341 PECOS PAC ID: 4880791375 Enrollment ID: O20070517000374 |
| Entity Name | Solantic of Jacksonville LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Orlando Carenow Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205389905 PECOS PAC ID: 1759666050 Enrollment ID: O20170329001671 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Pruitt Martinez, PA-C 9130 R G Skinner Parkway, Jacksonville, FL 32256 Ph: (045) 538-0950 | Tammy Pruitt Martinez, PA-C 9130 R G Skinner Parkway, Jacksonville, FL 32256 Ph: (045) 538-0950 |
Katherine L Walsh, PA-C/MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Teresa Louise Cowan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207 Phone: 904-396-6620 Fax: 904-396-6528 |
Mrs. Melina Volner Sommese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2594 Fax: 904-953-6225 |
Mr. Thomas Matthew Mattox Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218 Phone: 904-223-3321 |
Kyle Hollingsworth, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 |
Jessica Defazio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1400, Jacksonville, FL 32207 Phone: 904-388-6518 Fax: 904-384-1005 |
Hangyu Shen Watson, M.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |