| James Fletcher, | |
|
482 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | |
| (904) 247-3600 | |
| (904) 247-4926 |
| Full Name | James Fletcher |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 482 Jacksonville Dr, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326156423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0004753 (Florida) | Primary |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230419000008 |
| Mailing Address | Practice Location Address |
|---|---|
| James Fletcher, 482 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 Ph: (904) 247-3600 | James Fletcher, 482 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 Ph: (904) 247-3600 |
Dr. Cynthia P Stevens, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1538 The Greens Way, Suite 101, Jacksonville Beach, FL 32250 Phone: 904-543-0161 Fax: 904-543-9172 | |
Richard S Oxhorn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 204 Laguna Villa Blvd, A-23, Jacksonville Beach, FL 32250 Phone: 904-625-1101 | |
Lisa Selvig Amato, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1538 The Greens Way, Suite 101, Jacksonville Beach, FL 32250 Phone: 904-543-0161 | |
Steven L. Wise, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 482 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-247-3600 | |
Ronnie Burak, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 482 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-247-3600 Fax: 904-247-4926 | |
Mercedes Mcgowan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 482 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-247-3600 Fax: 904-247-4926 |