Amanda Lee West, APRN | |
551616 Us Highway 1, Hilliard, FL 32046-8281 | |
(904) 845-3574 | |
(904) 842-1041 |
Full Name | Amanda Lee West |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 551616 Us Highway 1, Hilliard, 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 |
---|---|---|---|
1063706026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN213041 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN9171673 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Millennium Physician Group Llc | 9830244433 | 789 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Entity Name | Millennium Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Entity Name | West Jax Geriatrics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629439260 PECOS PAC ID: 9537457395 Enrollment ID: O20161011000449 |
Mailing Address | Practice Location Address |
---|---|
Amanda Lee West, APRN 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Amanda Lee West, APRN 551616 Us Highway 1, Hilliard, FL 32046-8281 Ph: (904) 845-3574 |
Jack William Mounce, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-845-7418 | |
Diane C Thomas, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37203 Pecan St, Hilliard, FL 32046 Phone: 904-845-4761 Fax: 904-845-4076 | |
Ms. Kimberly Bravo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-842-1041 | |
Susan Urell Irvin, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-845-7418 | |
Elisabeth Francis Harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2564 Copperhead Ln, Hilliard, FL 32046 Phone: 912-253-2374 |