| Kirsten Ryan Hofheimer, PA-C | |
|
1301 Palm Ave, Jacksonville, FL 32207-8432 | |
| (904) 202-7300 | |
| (904) 202-7433 |
| Full Name | Kirsten Ryan Hofheimer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1301 Palm Ave, Jacksonville, 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 |
|---|---|---|---|
| 1134550254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107630 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9107630 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Md Anderson Cancer Physicians Inc | 5991932063 | 99 |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Ryan Hofheimer, PA-C Po Box 45278, Jacksonville, FL 32232-5278 Ph: (904) 202-2092 | Kirsten Ryan Hofheimer, PA-C 1301 Palm Ave, Jacksonville, FL 32207-8432 Ph: (904) 202-7300 |
Katherine L Walsh, PA-C/MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Teresa Louise Cowan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207 Phone: 904-396-6620 Fax: 904-396-6528 | |
Mrs. Melina Volner Sommese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2594 Fax: 904-953-6225 | |
Jessica Defazio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr Ste 1100, Jacksonville, FL 32207 Phone: 904-388-6518 Fax: 904-384-1005 | |
Kayla Marie Demus Wilmot, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Dunn Ave Ste 1, Jacksonville, FL 32218 Phone: 904-745-3618 | |
Rachel Lahav, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4123 University Blvd S, Ste B, Jacksonville, FL 32216 Phone: 904-636-9100 Fax: 904-636-9102 | |
Samantha Steele, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12398 Wavyleaf Ct, Jacksonville, FL 32225 Phone: 443-758-3656 |