| William M Shimp, PA-C | |
|
300 Health Park Blvd Ste 5008, St Augustine, FL 32086-3705 | |
| (904) 494-2394 | |
| (904) 400-6676 |
| Full Name | William M Shimp |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 300 Health Park Blvd Ste 5008, St Augustine, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821092511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9101052 (Florida) | Primary |
| 363A00000X | Physician Assistant | PA9101052 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic | Jacksonville, FL | Hospital |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Villages Regional Hospital Physician Services Llc | 0244688893 | 198 |
| Mayo Clinic Jacksonville | 5698689297 | 1595 |
| Entity Name | Mayo Clinic Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
| Entity Name | Cardiothoracic & Vascular Surgical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851403125 PECOS PAC ID: 5395725188 Enrollment ID: O20040722000541 |
| Entity Name | Villages Regional Hospital Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700669926 PECOS PAC ID: 0244688893 Enrollment ID: O20231121001709 |
| Mailing Address | Practice Location Address |
|---|---|
| William M Shimp, PA-C 1824 King St Ste 200, Jacksonville, FL 32204-4736 Ph: (904) 384-3343 | William M Shimp, PA-C 300 Health Park Blvd Ste 5008, St Augustine, FL 32086-3705 Ph: (904) 494-2394 |
Thomas Alfred John, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 Bronson Pkwy, St Augustine, FL 32095 Phone: 904-673-0089 |
Ms. Ergi Spaho, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 316 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 904-554-5800 |
David S Goins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-826-4700 Fax: 904-346-0113 |
Brittyn Hamer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 45 Groover Loop Ste 201, St Augustine, FL 32086 Phone: 904-634-0640 Fax: 904-634-0203 |
Mr. Robert P. Weber, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Plantation Island Dr S Ste 220, St Augustine, FL 32080 Phone: 904-223-3321 Fax: 904-223-2169 |
Richard Axelsen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Health Park Blvd, St Augustine, FL 32086 Phone: 631-603-7980 |
Ashleigh Elizabeth Maya, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 45 Groover Loop Ste 201, St Augustine, FL 32086 Phone: 904-634-0640 Fax: 904-634-0203 |