Jennifer Marie Diaz-wicke, AA | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(352) 273-8610 | |
(352) 273-8612 |
Full Name | Jennifer Marie Diaz-wicke |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 13 Years |
Location | 1600 Sw Archer Rd, Gainesville, 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 |
---|---|---|---|
1821378944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA101 (Florida) | Primary |
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Uf Health Shands Hospital | Gainesville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Marie Diaz-wicke, AA Po Box 918025, Orlando, FL 32891-8025 Ph: (352) 273-8610 | Jennifer Marie Diaz-wicke, AA 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-8610 |
David Andrew Hooper, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6575 Fax: 352-392-7029 | |
Michael John Provost, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
John Howes, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610 Phone: 352-273-8610 | |
Vineet Reddy, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Justin Shawn Piliego, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Morgan Landis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-265-0111 | |
Carey D Boudreau Jr., AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 |