| Jeremy D. Mcconnell, Md, Pa | |
|
5717 21st Ave W Bradenton FL 34209 | |
| (941) 792-8383 | |
| (941) 792-8484 |
| Full Name | Jeremy D. Mcconnell, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5717 21st Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Jeremy David Mcconnell (PRESIDENT) |
| Authorized Official Contact | 8134040159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy D. Mcconnell, Md, Pa 5717 21st Ave W Bradenton FL 34209 Ph: (941) 792-8383 | Jeremy D. Mcconnell, Md, Pa 5717 21st Ave W Bradenton FL 34209 Ph: (941) 792-8383 |
| NPI Number | 1841644358 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 11/19/2021 |
| Medicare PECOS PAC ID | 1759671852 |
|---|---|
| Medicare Enrollment ID | O20160601002611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841644358 | NPI | - | NPPES |
| NZ725 | Other | FL | FL HF MEDICARE |
| Provider Name | Jeremy D Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871969 PECOS PAC ID: 7810899283 Enrollment ID: I20040126000161 |
| Provider Name | Rebecca Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447579172 PECOS PAC ID: 1153516349 Enrollment ID: I20160923001367 |
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