| Jessica Bowden, | |
|
2300 Park Ave Ste 200, Orange Park, FL 32073-5571 | |
| (904) 308-3751 | |
| Not Available |
| Full Name | Jessica Bowden |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 9 Years |
| Location | 2300 Park Ave Ste 200, Orange Park, 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 |
|---|---|---|---|
| 1609426352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY9992 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY004197 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 255 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Bowden, 2300 Park Ave, Orange Park, FL 32073-5571 Ph: () - | Jessica Bowden, 2300 Park Ave Ste 200, Orange Park, FL 32073-5571 Ph: (904) 308-3751 |
Minor Chamblin, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Suite 18a, Orange Park, FL 32073 Phone: 904-269-3324 Fax: 904-264-2302 | |
Mrs. Jenny Gamble, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 33 Knight Boxx Rd # 2, Orange Park, FL 32065 Phone: 904-385-9310 | |
Ruth J Keili, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3562 Old Village Dr, Orange Park, FL 32065 Phone: 757-812-3776 | |
Dr. Vonda Elizabeth Staten, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Prairie Dunes Ct, Orange Park, FL 32065 Phone: 904-708-7754 | |
Carole J Crane, PH.D., PA Psychologist Medicare: Medicare Enrolled Practice Location: 1680 Smith St, Suite 1, Orange Park, FL 32073 Phone: 904-264-7099 | |
Dr. Janet Allison Anguas-keiter, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 165 Wells Rd Ste 303, Orange Park, FL 32073 Phone: 904-264-8311 | |
Blake Bazel, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1677 Wells Rd, Suite A, Orange Park, FL 32073 Phone: 904-272-0043 |