Dr Jaime Victoria Marra, PHD | |
4320 Deerwood Lake Pkwy Ste 101-108, Jacksonville, FL 32216-1177 | |
(904) 479-5120 | |
Not Available |
Full Name | Dr Jaime Victoria Marra |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 4320 Deerwood Lake Pkwy Ste 101-108, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376845933 | NPI | - | NPPES |
012365400 | Medicaid | FL | |
003173791A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY8712 (Florida) | Primary |
Entity Name | Jaime Marra, Phd, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245709559 PECOS PAC ID: 8921497066 Enrollment ID: O20211111001757 |
Mailing Address | Practice Location Address |
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Dr Jaime Victoria Marra, PHD 4320 Deerwood Lake Pkwy Ste 101-108, Jacksonville, FL 32216-1177 Ph: (904) 479-5120 | Dr Jaime Victoria Marra, PHD 4320 Deerwood Lake Pkwy Ste 101-108, Jacksonville, FL 32216-1177 Ph: (904) 479-5120 |
Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420 | |
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044 | |
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503 | |
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066 | |
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792 | |
Rachel Suzanne Wasson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |