Jacob Tyler Robison (NPI# 1952778359, PAC ID# 3274842174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952778359 |
| PAC ID by PECOS | 3274842174 |
| Professional Enrollment ID | I20191002002467 |
| Full Name | Jacob Tyler Robison |
| Organization Legal Name | PANCARE OF FLORIDA, INC |
| Address |
495 Saint Johns Rd Bonifay FL 32425-4237 |
| Phone Number | 8505475547 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476574229 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101307 | DOCTORS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 495 Saint Johns Rd, Bonifay, FL 32425-4237 | 8505475547 | PANCARE OF FLORIDA, INC |
| Organization Legal Name | PANCARE OF FLORIDA, INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Renae Sherrouse | Nurse Practitioner | Pancare of Florida, Inc | 479 State Hwy 20 E, Freeport, FL 32439-3931 |
| Thomas Gregory Kuerbitz | Physician Assistant | Pancare of Florida, Inc | 403 E 11th St, Panama City, FL 32401-3409 |
| Harold Crew Mason | Family Medicine | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
| Rosa I Bernier | Family Medicine | Pancare of Florida, Inc | 2309 E 15th St, Panama City, FL 32405-6345 |
| Sandra J Ford | Family Medicine | Pancare of Florida, Inc | 495 Saint Johns Rd, Bonifay, FL 32425-4237 |
| Michael Thad Owens | Nurse Practitioner | Pancare of Florida, Inc | 2309 E 15th St, Panama City, FL 32405-6345 |
| Simeon H Vilchez | General Practice | Pancare of Florida, Inc | 403 E 11th St, Panama City, FL 32401-3409 |
| Lauren B Youtz | Physician Assistant | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
| Lynda J Drinkard | Nurse Practitioner | Pancare of Florida, Inc | 2309 E 15th St, Panama City, FL 32405-6345 |
| Angela Marie Kuerbitz | Physician Assistant | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
| Street Address |
495 SAINT JOHNS RD |
| City | BONIFAY |
| State | FL |
| Zip | 32425-4237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Ford | Family Medicine | Pancare of Florida, Inc | 495 Saint Johns Rd, Bonifay, FL 32425-4237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leisa Hill Bailey | Family Medicine | 101 E Wisconsin Ave, Bonifay, FL 32425-1809 | |
| Mohammad Yunus | Internal Medicine | 404 E Hwy 90, Mohammad Yunus Md, Bonifay, FL 32425-2731 | |
| Ahmad Ismail | Family Medicine | 110 E Byrd Ave, Bonifay, FL 32425-3004 | |
| Vickie W Stephens | Nurse Practitioner | Life Management Center of Northwest Florida Inc | 310 E Byrd Ave, Bonifay, FL 32425-3006 |
| Joanne A Shafer | Clinical Social Worker | Life Management Center of Northwest Florida Inc | 310 E Byrd Ave, Bonifay, FL 32425-3006 |
| Glen Charles Nobles Jr. | Nurse Practitioner | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| Megan Suzanne Voss | Nurse Practitioner | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| Allen G Swift | General Practice | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| Karen Johnson | Nurse Practitioner | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| John Owens | Chiropractic | 1604 S Waukesha St, Bonifay, FL 32425-3112 | |
| Find all physicians in zip 32425 | |||
| City | BONIFAY |
| Zip Code | 32425 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BONIFAY + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.