Kathleen Yancey, RD, PA is a medicare enrolled "Physician Assistant" provider in Orange Park, Florida. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Park Avenue Dermatology Pa and her current practice location is
906 Park Ave, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 541-0315.
Kathleen Yancey is licensed to practice in Florida (license number PA9115044) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053087114.
Healthcare Provider's Profile
| Full Name | Kathleen Yancey |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 906 Park Ave, Orange Park, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathleen Yancey graduated from medical school in 2021
NPI Data:
- NPI Number: 1053087114
- Provider Enumeration Date: 08/19/2021
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880083112
- Enrollment ID: I20211108002051
Medical Identifiers
Medical identifiers for Kathleen Yancey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053087114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | ND7019 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9115044 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Avenue Dermatology Pa | 7517979933 | 11 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Yancey is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kathleen Yancey, RD, PA
929 Ironridge Ct,
Orange Park, FL 32065-5747
Ph: (904) 614-0670 | Kathleen Yancey, RD, PA
906 Park Ave,
Orange Park, FL 32073-4120
Ph: (904) 541-0315 |
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