Jonathan Kistemaker, AA | |
800 Prudential Dr, Jacksonville, FL 32207-8202 | |
(904) 202-2000 | |
Not Available |
Full Name | Jonathan Kistemaker |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 6 Years |
Location | 800 Prudential Dr, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538634274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA489 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Us Anesthesia Partners Of Florida Inc | 0345143152 | 777 |
Entity Name | Us Anesthesia Partners Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Kistemaker, AA 851 Trafalgar Ct Ste 200e, Maitland, FL 32751-7420 Ph: (407) 667-0444 | Jonathan Kistemaker, AA 800 Prudential Dr, Jacksonville, FL 32207-8202 Ph: (904) 202-2000 |
Alyssa Kay Burgo, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Haley Wingo, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-8000 | |
Mr. Kyle Matthew Hillis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 606, Jacksonville, FL 32207 Phone: 904-398-3356 | |
April Jennifer Harris Still, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3660 | |
Benjamin Olson Dickey, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Olga B Carroll, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-0411 | |
William James Morgan, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 |