Mrs Irena Maria Pacanowska-assefa, MD | |
700 Zeagler Drive, Suite 10, Palatka, FL 32177-3860 | |
(386) 328-6746 | |
(386) 328-7554 |
Full Name | Mrs Irena Maria Pacanowska-assefa |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 700 Zeagler Drive, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932171337 | NPI | - | NPPES |
109579200 | Medicaid | FL | |
372143400 | Medicaid | FL | |
376985200 | Medicaid | FL | |
372143401 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0067444 (Florida) | Secondary |
207Q00000X | Family Medicine | ME67444 (Florida) | Primary |
Entity Name | Jack M. Matheny Ii, Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629198544 PECOS PAC ID: 9830114792 Enrollment ID: O20051010000763 |
Mailing Address | Practice Location Address |
---|---|
Mrs Irena Maria Pacanowska-assefa, MD 700 Zeagler Drive, Suite 10, Palatka, FL 32177-3860 Ph: (386) 328-6746 | Mrs Irena Maria Pacanowska-assefa, MD 700 Zeagler Drive, Suite 10, Palatka, FL 32177-3860 Ph: (386) 328-6746 |
Michael Arthur Borelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2801 Kennedy St, Putnam County Health Department, Palatka, FL 32177 Phone: 386-326-3200 Fax: 386-326-3350 | |
Moses Muzquiz Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Bobby R Lafferty, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-312-0775 | |
Dr. James T. Drew, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Mary Jane Garris, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 E Peniel Rd, Palatka, FL 32177 Phone: 386-937-9611 Fax: 386-385-3915 | |
Dave Anthony Williams, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Jose N Dizon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-328-1519 |