Alysa M Gregory, LCSW | |
9 San Bartola Dr, St Augustine, FL 32086-5767 | |
(904) 825-4500 | |
(904) 825-3672 |
Full Name | Alysa M Gregory |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 9 San Bartola Dr, St Augustine, 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 |
---|---|---|---|
1639727316 | NPI | - | NPPES |
LU495 | Other | FL | MEDICARE |
882F4 | Other | FL | FL BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW16136 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Refresh Canopy Cove, Inc | 3779822119 | 97 |
Entity Name | Refresh Canopy Cove, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Alysa M Gregory, LCSW 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256-6932 Ph: (904) 363-2113 | Alysa M Gregory, LCSW 9 San Bartola Dr, St Augustine, FL 32086-5767 Ph: (904) 825-4500 |
Denise Mershon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1880 San Sebastian Vw, St Augustine, FL 32084 Phone: 800-539-4228 | |
Mrs. Gwendolen Haydon Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Kingsley Lake Dr, Suite 702, St Augustine, FL 32092 Phone: 904-716-5619 | |
Mrs. Alyssa A Thaxton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 485 Aventurine Ave, St Augustine, FL 32086 Phone: 706-917-9212 | |
Alicia Busic, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Kingsley Lake Dr Ste 702, St Augustine, FL 32092 Phone: 405-397-1617 | |
Mr. Michael John Meehan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 Saint Johns Medical Pk Dr, St Augustine, FL 32086 Phone: 904-797-2705 Fax: 904-797-2820 | |
Mrs. Vivian Juvan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 Us 1 S, Suite 104, St Augustine, FL 32086 Phone: 904-304-5282 | |
Ashton Timmons, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 362 Varella Ave, St Augustine, FL 32084 Phone: 941-544-0240 |