| Dr Jason-anthony Kirkham Prendergast, | |
|
1451 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1961 | |
| (888) 773-3439 | |
| Not Available |
| Full Name | Dr Jason-anthony Kirkham Prendergast |
|---|---|
| Gender | Male |
| Speciality | Counselor - Pastoral |
| Location | 1451 W Cypress Creek Rd, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699278523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | 17769 (Florida) | Primary |
| 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 |
|---|---|
| Dr Jason-anthony Kirkham Prendergast, 4163 Nw 48th Ave, Lauderdale Lakes, FL 33319-4716 Ph: (954) 383-3776 | Dr Jason-anthony Kirkham Prendergast, 1451 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1961 Ph: (888) 773-3439 |
Dr. Ieshai Tawanda Bailey, PHD, CMHC, LMHC, CST Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Nw 16th Avenue N, Fort Lauderdale, FL 33311 Phone: 904-738-3506 Fax: 904-204-3291 | |
Monique Beckford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 W Broward Blvd Ste 100, Fort Lauderdale, FL 33312 Phone: 954-587-1008 Fax: 954-587-0080 | |
Vanessa Alarcon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 W Broward Blvd, Suite 100, Fort Lauderdale, FL 33312 Phone: 954-587-1008 | |
Miriam E Stevens, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1040 Bayview Dr, Suite 534, Fort Lauderdale, FL 33304 Phone: 954-829-0931 Fax: 954-742-5327 | |
Jeffrey Sundberg, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 915 Middle River Dr, Suite 317, Fort Lauderdale, FL 33304 Phone: 954-812-6965 | |
Mr. John Cordes Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 S Birch Rd, 1204, Fort Lauderdale, FL 33316 Phone: 954-593-5561 | |
Shenika Thomas, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Nw 31st Ave Ste 2000, Fort Lauderdale, FL 33311 Phone: 954-357-5080 |