Jennifer L Misechok, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in St Petersburg, Florida. Her current practice location is
10 Pasadena Ave N, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 381-2500.
Jennifer L Misechok is licensed to practice in Florida (license number PA9103594) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619952934.
Physician's Profile
Full Name | Jennifer L Misechok |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 10 Pasadena Ave N, St Petersburg, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619952934
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113940487
- Enrollment ID: I20060112000611
Medical Identifiers
Medical identifiers for Jennifer L Misechok such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619952934 | NPI | - | NPPES |
PA9103594 | Other | FL | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | PA9103594 (Florida) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA9103594 (Florida) | 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. Jennifer L Misechok 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 |
Jennifer L Misechok, PA-C Po Box 40658, St Petersburg, FL 33743-0658 Ph: (727) 381-2500 | Jennifer L Misechok, PA-C 10 Pasadena Ave N, St Petersburg, FL 33710-8330 Ph: (727) 381-2500 |
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