Jennifer Poucher, | |
289 Sw Range Ave Ste C, Madison, FL 32340-2351 | |
(850) 973-2252 | |
(855) 531-6313 |
Full Name | Jennifer Poucher |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 289 Sw Range Ave Ste C, Madison, 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 |
---|---|---|---|
1255084976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11017863 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Lake city, FL | Home health agency |
Lake City Medical Center | Lake city, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Internal Medicine Of Florida Llc | 8022263417 | 5 |
Entity Name | Ascension Internal Medicine Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811233505 PECOS PAC ID: 8022263417 Enrollment ID: O20130311000370 |
Entity Name | Bailey Grade Medical Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356826291 PECOS PAC ID: 9436497146 Enrollment ID: O20190205000655 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Poucher, 3966 72nd St, Live Oak, FL 32060-7406 Ph: (386) 249-1194 | Jennifer Poucher, 289 Sw Range Ave Ste C, Madison, FL 32340-2351 Ph: (850) 973-2252 |
Juanita Webb Fico, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Sw Third Ave, Madison, FL 32340 Phone: 850-973-5000 | |
Lavonte Mcdaniel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Sw Sumatra Ave, Madison, FL 32340 Phone: 850-973-5124 Fax: 850-973-5128 | |
Garrett Norman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 224 Nw Crane Ave, Madison, FL 32340 Phone: 850-973-2271 | |
Ms. Elizabeth Fulford, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Range Ave, Suite - C, Madison, FL 32340 Phone: 850-973-2252 Fax: 855-531-6313 | |
Amanda Grier Williams, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 256 Sw Washington Ave, Madison, FL 32340 Phone: 850-973-4590 | |
Ms. Tammy Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 256 Sw Washington Ave, Madison, FL 32340 Phone: 850-973-4590 |