Robert O Kessack Iii, PA | |
216 Frederick St, Pierson, FL 32180-3024 | |
(386) 749-9449 | |
(386) 749-2280 |
Full Name | Robert O Kessack Iii |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 216 Frederick St, Pierson, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497708952 | NPI | - | NPPES |
PA9105462 | Other | FL | PA LICENSE, FLORIDA |
002724600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9105462 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Robert O Kessack Iii, PA 216 Frederick St, Pierson, FL 32180-3024 Ph: (386) 749-9449 | Robert O Kessack Iii, PA 216 Frederick St, Pierson, FL 32180-3024 Ph: (386) 749-9449 |
Jorge Luis Martinez Bruna, Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Frederick St, Pierson, FL 32180 Phone: 386-202-6025 | |
Robert Rodriguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 216 Frederick St, Pierson, FL 32180 Phone: 386-749-9449 Fax: 386-749-2280 |