| Wiley Douglas Fowler Iii, PA-C | |
|
820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | |
| (904) 202-3860 | |
| (904) 202-3846 |
| Full Name | Wiley Douglas Fowler Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 820 Prudential Dr Ste 304, 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 |
|---|---|---|---|
| 1780936278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9106930 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9106930 (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 |
|---|---|---|
| Baptist Agewell Physicians Inc | 0244480531 | 15 |
| Baptist Primary Care Inc | 0648177733 | 405 |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley Douglas Fowler Iii, PA-C Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Wiley Douglas Fowler Iii, PA-C 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 Ph: (904) 202-3860 |
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 |