Jeffrey Michael Phillips (NPI# 1619130473, PAC ID# 7911124011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1619130473 |
| PAC ID by PECOS | 7911124011 |
| Professional Enrollment ID | I20140813002770 |
| Full Name | Jeffrey Michael Phillips |
| Organization Legal Name | ACCENT PHYSICIAN SPECIALISTS PA |
| Address |
438 Sw Perimeter Glen Suite 100 Lake City FL 32025-0497 |
| Phone Number | 3523729414 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2008 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | SLEEP MEDICINE |
| Group Practice PAC ID | 4082686951 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 | 3523729414 | ACCENT PHYSICIAN SPECIALISTS PA |
| 438 Sw Perimeter Glen, Suite 100, Lake City, FL 32025-0497 | 3523729414 | ACCENT PHYSICIAN SPECIALISTS PA |
| Organization Legal Name | ACCENT PHYSICIAN SPECIALISTS PA |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly J Kraus | Registered Dietitian Or Nutrition Professional | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Steven W Petrakis | Qualified Audiologist | Accent Physician Specialists Pa | 438 Sw Perimeter Glen, Suite 100, Lake City, FL 32025-0497 |
| Elizabeth N Tobener | Qualified Audiologist | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Brian G Kerr | Otolaryngology | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Sadaf Jeelani | Endocrinology | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Diana M Guercio | Qualified Audiologist | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Ryan S Baker | Qualified Audiologist | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Alexis G Rafanan | Physician Assistant | Accent Physician Specialists Pa | 438 Sw Perimeter Glen, Suite 100, Lake City, FL 32025-0497 |
| Tamara Alicia Wright | Physician Assistant | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Colleen Digman | Endocrinology | Accent Physician Specialists Pa | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 |
| Street Address |
438 SW PERIMETER GLEN SUITE 100 |
| City | LAKE CITY |
| State | FL |
| Zip | 32025-0497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven W Petrakis | Qualified Audiologist | Accent Physician Specialists Pa | 438 Sw Perimeter Glen, Suite 100, Lake City, FL 32025-0497 |
| Alexis G Rafanan | Physician Assistant | Accent Physician Specialists Pa | 438 Sw Perimeter Glen, Suite 100, Lake City, FL 32025-0497 |
| Daniel J Hall | Otolaryngology | Accent Physician Specialists Pa | 438 Sw Perimeter Glen, Suite 100, Lake City, FL 32025-0497 |
| Kaushik M Hazariwala | Ophthalmology | Vitreo Retinal Associates Pa | 438 Sw Perimeter Glen, Suite 101, Lake City, FL 32025-0497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly C Herring | Clinical Social Worker | 871 Sw State Rd, Suite 47, Lake City, FL 32025-0433 | |
| Charles M Varghese | Cardiovascular Disease (cardiology) | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | |
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Vijay M. Patel | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 495 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Donald Brent Hayden | General Practice | 733 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Eric Marquez | Obstetrics/gynecology | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Find all physicians in zip 32025 | |||
| City | LAKE CITY |
| Zip Code | 32025 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LAKE CITY + OTOLARYNGOLOGY |
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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.