Blayne O Yerby, PA | |
1419 S 6th St, Macclenny, FL 32063-4624 | |
(904) 653-1822 | |
(904) 259-1225 |
Full Name | Blayne O Yerby |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1419 S 6th St, Macclenny, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497295505 | NPI | - | NPPES |
020253400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 9110127 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9110127 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Blayne O Yerby, PA 789 W Duval St, Lake City, FL 32055-3811 Ph: (386) 755-5044 | Blayne O Yerby, PA 1419 S 6th St, Macclenny, FL 32063-4624 Ph: (904) 653-1822 |
Jessica Michele Rockswold, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1419 S 6th St, Macclenny, FL 32063 Phone: 904-653-1822 Fax: 904-259-1225 | |
Madison Rhoden, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6164 Harry Rewis Rd, Macclenny, FL 32063 Phone: 904-955-7950 |