Mrs Joelle M Innocent-simon, DO | |
1550 S Water St, Starke, FL 32091-4511 | |
(904) 368-2489 | |
(904) 368-2493 |
Full Name | Mrs Joelle M Innocent-simon |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1550 S Water St, Starke, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205970134 | NPI | - | NPPES |
1457448284 | Other | FL | SHANDS STARKE MEDICAL GROUP |
1942270905 | Other | FL | NPI FOR GROUP |
57355 | Other | FL | BCBS |
250170800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS0006902 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Home Health Care Inc | Starke, FL | Home health agency |
Doctors Choice Home Care | Gainesville, FL | Home health agency |
Community Hospice Of Northeast Florida Inc | Jacksonville, FL | Hospice |
Uf Health Shands Hospital | Gainesville, FL | Hospital |
North Florida Regional Medical Center | Gainesville, FL | Hospital |
Riverwood Health & Rehabilitation Center | Starke, FL | Nursing home |
Marshall Health And Rehabilitation Center | Perry, FL | Nursing home |
Good Samaritan Center | Live oak, FL | Nursing home |
Windsor Health And Rehabilitation Center | Starke, FL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Physician Services Group Of Florida, Llc | 7719314830 | 21 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Physician Services Group Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235775396 PECOS PAC ID: 7719314830 Enrollment ID: O20200228001953 |
Mailing Address | Practice Location Address |
---|---|
Mrs Joelle M Innocent-simon, DO 1550 S Water St, Starke, FL 32091-4511 Ph: (904) 368-2489 | Mrs Joelle M Innocent-simon, DO 1550 S Water St, Starke, FL 32091-4511 Ph: (904) 368-2489 |
Dr. Dung Nguyen Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1550 S Water St, Starke, FL 32091 Phone: 904-368-2480 Fax: 904-368-2481 | |
Mrs. Lyla Marie Smith, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 550 Georgia St, Starke, FL 32091 Phone: 904-364-2900 Fax: 904-364-2901 | |
Mrs. Natalia Anatolievna Shiriaeva, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1546 S Water St, Starke, FL 32091 Phone: 904-964-1888 Fax: 904-964-1884 | |
Dona Hunt, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1550 S Water St, Starke, FL 32091 Phone: 904-368-2480 Fax: 904-368-2482 | |
Dr. Kevin Benjamine Mcbride, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 S Water St, Starke, FL 32091 Phone: 904-368-2480 Fax: 904-368-2481 | |
Dr. Molly A White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 922 E Call St, Starke, FL 32091 Phone: 904-368-2300 Fax: 904-368-2306 |