Cathy A Youngstrom, is a
Physician Assistant based in St. Augustine, Florida. Cathy A Youngstrom is licensed to practice in Florida (license number PA1554) and her current practice location is
130 Health Park Blvd., St. Augustine, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 826-3469.
NPI number for Cathy A Youngstrom is 1558328187 and her current mailing address is 130 Health Park Blvd., St. Augustine, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558328187.
Provider's Profile
| Full Name | Cathy A Youngstrom |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 130 Health Park Blvd., St. Augustine, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558328187
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 12/10/2007
Medical Identifiers
Medical identifiers for Cathy A Youngstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558328187 | NPI | - | NPPES |
| 0290629500 | Medicaid | FL | |
| P00191661 | Other | FL | PALMETTO GBA RAILROAD MED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA1554 (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. Cathy A Youngstrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cathy A Youngstrom,
130 Health Park Blvd.,
St. Augustine, FL 32086-5776
Ph: (904) 826-3469 | Cathy A Youngstrom,
130 Health Park Blvd.,
St. Augustine, FL 32086-5776
Ph: (904) 826-3469 |
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