Jessica Bean (NPI# 1861876856, PAC ID# 8426320904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861876856 |
| PAC ID by PECOS | 8426320904 |
| Professional Enrollment ID | I20170817002601 |
| Full Name | Jessica Bean |
| Organization Legal Name | SOUTH LAKE MEDICAL CENTER INC |
| Address |
1950 Hospital View Way Clermont FL 34711-1926 |
| Phone Number | 3522433443 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264521749 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100051 | SOUTH LAKE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1950 Hospital View Way, Clermont, FL 34711-1926 | 3522433443 | SOUTH LAKE MEDICAL CENTER INC |
| Organization Legal Name | SOUTH LAKE MEDICAL CENTER INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Charles G Ordona | Chiropractic | South Lake Medical Center Inc | 213 S Euclid Ave, South Lake Medical Center Inc, Pasadena, CA 91101-2717 |
| Teresa M Karcsmar | Nurse Practitioner | South Lake Medical Center Inc | 1950 Hospital View Way, Clermont, FL 34711-1926 |
| Amelia Lucille Perry Egerton | Nurse Practitioner | South Lake Medical Center Inc | 1950 Hospital View Way, Clermont, FL 34711-1926 |
| Shazia Nasir | Internal Medicine | South Lake Medical Center Inc | 1950 Hospital View Way, Clermont, FL 34711-1926 |
| Christopher C Yu | Chiropractic | South Lake Medical Center Inc | 213 S Euclid Ave, South Lake Medical Center Inc, Pasadena, CA 91101-2717 |
| Harold Vincent Mitzelfelt | Family Practice | South Lake Medical Center Inc | 213 S Euclid Ave, Pasadena, CA 91101-2717 |
| Street Address |
1950 HOSPITAL VIEW WAY |
| City | CLERMONT |
| State | FL |
| Zip | 34711-1926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa M Karcsmar | Nurse Practitioner | South Lake Medical Center Inc | 1950 Hospital View Way, Clermont, FL 34711-1926 |
| Nibha Mediratta | Internal Medicine | Nibha Mediratta Md Pl | 1950 Hospital View Way, Clermont, FL 34711-1926 |
| Amelia Lucille Perry Egerton | Nurse Practitioner | South Lake Medical Center Inc | 1950 Hospital View Way, Clermont, FL 34711-1926 |
| Shazia Nasir | Internal Medicine | South Lake Medical Center Inc | 1950 Hospital View Way, Clermont, FL 34711-1926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Fogle | Nurse Practitioner | Fabio Echavarria, Md, Pa | 1715 E Hwy 50 Bldg 3 C, Clermont, FL 34711 |
| Julie Miranda | Chiropractic | 2560 E Hwy 50, Clermont, FL 34711 | |
| Paul Harrington | Internal Medicine | Patrick G Fairchild Md Pa | 2020 Oakley Seaver Dr, Suite 1, Clermont, FL 34711-1902 |
| Kevin D Nowicki | Orthopedic Surgery | Physician Business Alliance Inc | 2020 Oakley Seaver Dr, Clermont, FL 34711-1902 |
| Patrick G Fairchild | Infectious Disease | Patrick G Fairchild Md Pa | 2020 Oakley Seaver Dr, Suite 1, Clermont, FL 34711-1902 |
| David H Lucas | Orthopedic Surgery | Physician Business Alliance Inc | 2020 Oakley Seaver Dr, Clermont, FL 34711-1902 |
| Delena A Santoro | Certified Registered Nurse Anesthetist (crna) | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Neil A Chivington | Certified Registered Nurse Anesthetist (crna) | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Michael J Guillory -smith | Anesthesiology | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Salma Hitawala | Internal Medicine | 255 Citrus Tower Blvd, Suite 205, Clermont, FL 34711-1906 | |
| Find all physicians in zip 34711 | |||
| City | CLERMONT |
| Zip Code | 34711 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLERMONT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Bean.
| 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.