| Vanessa M Berrios, PA-C | |
|
30 Ardisia Lane, St. Johns, FL 32259 | |
| (904) 287-2794 | |
| Not Available |
| Full Name | Vanessa M Berrios |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 30 Ardisia Lane, 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 |
|---|---|---|---|
| 1982977096 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 459 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Entity Name | Rural Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa M Berrios, PA-C Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Vanessa M Berrios, PA-C 30 Ardisia Lane, St. Johns, FL 32259 Ph: (904) 287-2794 |
Mrs. Katherine Ann Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Ardisia Lane, St. Johns, FL 32259 Phone: 904-287-2794 Fax: 904-390-7458 |
Shanjida Rauf, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 616 State Road 13, Ste 8, St. Johns, FL 32259 Phone: 904-512-1899 Fax: 904-770-7592 |
Nineveh A Mcintosh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Ardisia Lane, St. Johns, FL 32259 Phone: 904-287-2794 Fax: 904-390-7458 |