Courtney Conklin, PA is a
Physician Assistant - Surgical physician based in Lakeland, Florida. Courtney Conklin is licensed to practice in * (Not Available) (license number 9119521) and her current practice location is 1324 Lakeland Hills Blvd Ste A, Lakeland, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 650-7715.
NPI number for Courtney Conklin is 1619725710 and her current mailing address is 10140 Centurion Pkwy N, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619725710.
Physician's Profile
| Full Name | Courtney Conklin |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Surgical |
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| Location | 1324 Lakeland Hills Blvd Ste A, Lakeland, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619725710
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 11/14/2024
Medical Identifiers
Medical identifiers for Courtney Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619725710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0120X | Surgery - Pediatric Surgery | 9119521 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 9119521 (* (Not Available)) | Primary |
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. Courtney Conklin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Courtney Conklin, PA
10140 Centurion Pkwy N,
Jacksonville, FL 32256-0532
Ph: (904) 697-4100 | Courtney Conklin, PA
1324 Lakeland Hills Blvd Ste A,
Lakeland, FL 33805-4543
Ph: (407) 650-7715 |
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