Bambi Lynn Wadelton, PLHD | |
13000 Sawgrass Village Cir, Suite 46, Ponte Vedra Beach, FL 32082-5016 | |
(904) 280-8555 | |
(904) 280-8562 |
Full Name | Bambi Lynn Wadelton |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 13000 Sawgrass Village Cir, Ponte Vedra Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083764039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY5636 (Florida) | Primary |
Entity Name | Transformative Healthcare Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477114031 PECOS PAC ID: 8921337973 Enrollment ID: O20190917001257 |
Entity Name | Mental Health Solutions Of South Florida Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194344564 PECOS PAC ID: 0345671673 Enrollment ID: O20200520002119 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Bambi Lynn Wadelton, PLHD 13000 Sawgrass Village Cir, Suite 46, Ponte Vedra Beach, FL 32082-5016 Ph: (904) 280-8555 | Bambi Lynn Wadelton, PLHD 13000 Sawgrass Village Cir, Suite 46, Ponte Vedra Beach, FL 32082-5016 Ph: (904) 280-8555 |
Dr. Janice Wachtel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Way, Ste 110, Ponte Vedra Beach, FL 32082 Phone: 904-834-2235 Fax: 866-531-8858 | |
Meghan Ambrose, MS, LSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 303 Vista Lagoon Ct Unit C-1, Ponte Vedra Beach, FL 32082 Phone: 858-717-4803 | |
David Blackmon, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 330 A1a N Ste 325, Ponte Vedra Beach, FL 32082 Phone: 904-333-3389 Fax: 904-713-2989 | |
Dr. Kristen Kelley, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 98 Nocatee Village Dr, Ponte Vedra Beach, FL 32081 Phone: 904-376-3800 Fax: 904-390-7392 | |
Andrew Brown King, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra Beach, FL 32081 Phone: 904-376-3800 | |
Naomi Jacobs, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082 Phone: 904-687-6336 |