Heather Michelle Wade, APRN | |
421 Kingsley Ave Ste 300, Orange Park, FL 32073-4898 | |
(904) 621-0643 | |
(904) 621-0644 |
Full Name | Heather Michelle Wade |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 421 Kingsley Ave Ste 300, Orange Park, 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 |
---|---|---|---|
1033136072 | NPI | - | NPPES |
305910300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9206589 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Group Services Pa | 1254238579 | 78 |
Entity Name | Physicians Group Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
Entity Name | Pcp Financial Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134378078 PECOS PAC ID: 5092600510 Enrollment ID: O20200910001151 |
Entity Name | Coastal Health Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023734340 PECOS PAC ID: 8628447380 Enrollment ID: O20221220001103 |
Mailing Address | Practice Location Address |
---|---|
Heather Michelle Wade, APRN 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Heather Michelle Wade, APRN 421 Kingsley Ave Ste 300, Orange Park, FL 32073-4898 Ph: (904) 621-0643 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 | |
Erica Devetia Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1536 Kingsley Ave Ste 117, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769 |