Jencymol Mathew, APRN, PMHNP | |
8136 Centralia Ct Ste 101, Leesburg, FL 34788-3757 | |
(800) 614-4124 | |
Not Available |
Full Name | Jencymol Mathew |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 8136 Centralia Ct Ste 101, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457008872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11018479 (Florida) | Primary |
Entity Name | Compass Health Systems Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619965795 PECOS PAC ID: 6204733413 Enrollment ID: O20040202000219 |
Mailing Address | Practice Location Address |
---|---|
Jencymol Mathew, APRN, PMHNP 8136 Centralia Ct Ste 101, Leesburg, FL 34788-3757 Ph: (800) 614-4124 | Jencymol Mathew, APRN, PMHNP 8136 Centralia Ct Ste 101, Leesburg, FL 34788-3757 Ph: (800) 614-4124 |
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