| Mr Jimmy Allen Wyatt, PA-C | |
|
350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 | |
| (386) 238-3289 | |
| (386) 238-3296 |
| Full Name | Mr Jimmy Allen Wyatt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 350 N Clyde Morris Blvd, Daytona Beach, 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 |
|---|---|---|---|
| 1578550257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9103344 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tallahassee Memorial Healthcare Inc | 6103724778 | 339 |
| Ccsg, Inc | 6103130745 | 21 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jimmy Allen Wyatt, PA-C 1808 Needle Palm Dr, Edgewater, FL 32132-3322 Ph: (386) 424-0158 | Mr Jimmy Allen Wyatt, PA-C 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 Ph: (386) 238-3289 |
Rhonda Lee Gleason, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602 | |
Angelica Diez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000 | |
Savanna Hanh Duong, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 877-842-5432 | |
Celeste Nadine Welch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Parkway, Florida Memorial Medical Center, Daytona Beach, FL 32117 Phone: 386-231-3023 | |
Armando Fernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
Courtney Swallows, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1700 Fax: 386-425-1704 | |
Marissa Stewart, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117 Phone: 386-231-3540 |