Samantha J Adessa (NPI# 1679071773, PAC ID# 0042571606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679071773 |
| PAC ID by PECOS | 0042571606 |
| Professional Enrollment ID | I20180223000834 |
| Full Name | Samantha J Adessa |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
11513 N Main St Jacksonville FL 32218-4002 |
| Phone Number | 9047516200 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 532 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 11513 N Main St, Jacksonville, FL 32218-4002 | 9047516200 | MILLENNIUM PHYSICIAN GROUP LLC |
| 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 | 8778563774 | MILLENNIUM PHYSICIAN GROUP LLC |
| 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 9412553535 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1287 Us Hwy 41 Byp S, Venice, FL 34285-5545 | 9412020500 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
11513 N MAIN ST |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32218-4002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Breza | Nurse Practitioner | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Allison Krebs | Nurse Practitioner | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Courtney M Griffin | Physician Assistant | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Elizabeth K Marshall | Physician Assistant | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Weichi Liao | Internal Medicine | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Courtney Waters | Physician Assistant | Family Care Partners of Northeast Florida LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Wink | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Kimberly Ann Segler | Occupational Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Justin Carmel | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Chandra M Williams | Optometry | River City Vision Center Pa | 12961 N Main St, Unit 203, Jacksonville, FL 32218-2771 |
| Heather S Applewhite | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Jamila Mainor | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Katherine Langston | Family Medicine | Florida Post Acute Care Clinicians LLC | 11411 Armsdale Rd, Jacksonville, FL 32218-3311 |
| Sharon Lynn Steinmetz | Nurse Practitioner | 11565 Harts Rd, Jacksonville, FL 32218-3777 | |
| Farida Kazvinova | General Practice | Roy H Hinman Md Pa | 11565 N Main St, Suite 228, Jacksonville, FL 32218-4088 |
| Matthew S George | Nurse Practitioner | 4134 Dunn Ave, Jacksonville, FL 32218-4410 | |
| Find all physicians in zip 32218 | |||
| City | JACKSONVILLE |
| Zip Code | 32218 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Samantha J Adessa.
| 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.