Gwendolyn Marie Spong, APRN in St. Augustine, FL

Gwendolyn Marie Spong, APRN is a medicare enrolled "Nurse Practitioner - Family" in St. Augustine, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Augustine Hospitalists Primary Care, Chma Of Fl Llc and her current practice location is 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 824-2838.

Gwendolyn Marie Spong is licensed to practice in Florida (license number APRN9350043) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568954576.

Contact Information

	Gwendolyn Marie Spong, APRN
	2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084
	(904) 824-2838
	Not Available

Map and Direction

Provider's Profile

Full Name	Gwendolyn Marie Spong
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2703 N Ponce De Leon Blvd., St. Augustine, 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.

Medical Education and Training:

Gwendolyn Marie Spong graduated from nursing school in 2017

NPI Data:

NPI Number: 1568954576
Provider Enumeration Date: 06/05/2018
Last Update Date: 03/12/2020

Medicare PECOS Information:

PECOS PAC ID: 0446596191
Enrollment ID: I20190116003605

Medical Identifiers

Medical identifiers for Gwendolyn Marie Spong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568954576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN9350043 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Augustine Hospitalists Primary Care	1355687419	2
Chma Of Fl Llc	8123420643	19

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gwendolyn Marie Spong allows following entities to bill medicare on her behalf.

Entity Name	Saint Augustine Hospitalists Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962977306 PECOS PAC ID: 1355687419 Enrollment ID: O20190109003499

Entity Name	Chma Of Fl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912581653 PECOS PAC ID: 8123420643 Enrollment ID: O20210707000812

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. Gwendolyn Marie Spong 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
Gwendolyn Marie Spong, APRN 2703 N Ponce De Leon Blvd, St Augustine, FL 32084-2603 Ph: (904) 415-9135	Gwendolyn Marie Spong, APRN 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 Ph: (904) 824-2838

Reviews and Comments

Nurse Practitioner Nurses in St. Augustine, FL

Karen Stover, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Health Park Blvd, St. Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608
Ms. Rosemary Bates, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1955 Ponce De Leon Blvd, St. Augustine, FL 32086 Phone: 904-829-8954
Maryann Hickey, RN, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2703 Ponce Deleon, Cvs Minute Clinic, St. Augustine, FL 32084 Phone: 186-638-9272 Fax: 401-652-9787
Lidia S Dalessandro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, Ste. 300, St. Augustine, FL 32086 Phone: 904-819-5155
Mrs. Crystal Ann Hyder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, Flagler Hospital, St. Augustine, FL 32086 Phone: 904-819-5155
Dr. Jacques Howard Amole, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 San Sebastian Way, St. Augustine, FL 32084 Phone: 904-209-6234

Gwendolyn Marie Spong, APRN - Medicare Nurse Practitioner in St. Augustine, FL