KERRIE ANN FALLON
DOCTORS MORI BEAN AND BROOKS P A

Address: 2001 Kingsley Ave, Orange Park, FL 32073-5148

KERRIE ANN FALLON (NPI# 1811369911, PAC ID# 4981905338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1811369911
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 4981905338
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20151209001553
Last Name FALLON
First Name KERRIE
Middle Name ANN
Gender F
Organization Legal Name DOCTORS MORI BEAN AND BROOKS P A
Address 2001 Kingsley Ave
Orange Park
FL 32073-5148
Phone Number 9042768500
Medical School NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduation Year 2015
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8820077878
Number of Group Practice Members 56
Professional Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100179 MEMORIAL HOSPITAL JACKSONVILLE
100117 BAPTIST MEDICAL CENTER BEACHES

Provider Overview

Nation Provider ID (NPI) 1811369911
by National Plan and Provider Enumeration System (NPPES)
Full Name KERRIE FALLON
Other Name KERRIE ANN GREEN
Taxonomy Code 363A00000X
Taxonomy Classification Physician Assistant
Location 3599 University Blvd S, Bldg 300, Jacksonville, FL 32216-4252

Organization Information

Organization Legal Name DOCTORS MORI BEAN AND BROOKS P A

Physicians Physicians in the same organization

Name Specialty Organization Address
Douglas E Gesner Diagnostic Radiology Doctors Mori Bean and Brooks P A 1350 13th S Ave, Jacksonville Beach, FL 32250-3203
Erin Patricia Norton Physician Assistant Doctors Mori Bean and Brooks P A 800 Prudential Dr, Jacksonville, FL 32207-8202
Kristen N Giordano Physician Assistant Doctors Mori Bean and Brooks P A 800 Prudential Dr, Jacksonville, FL 32207-8202
Courtney E Villanueva Physician Assistant Doctors Mori Bean and Brooks P A 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4211
Alexis J. Rangel Physician Assistant Doctors Mori Bean and Brooks P A 800 Prudential Dr, Jacksonville, FL 32207-8202
Cristal M Boatright Physician Assistant Doctors Mori Bean and Brooks P A 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4211
Terry Cheyenne Houser Physician Assistant Doctors Mori Bean and Brooks P A 2001 Kingsley Ave, Orange Park, FL 32073-5148
James A Smrtic Physician Assistant Doctors Mori Bean and Brooks P A 2001 Kingsley Ave, Orange Park, FL 32073-5148
Josey O Barmore Physician Assistant Doctors Mori Bean and Brooks P A 2001 Kingsley Ave, Orange Park, FL 32073-5148
Rebecca L Glass Physician Assistant Doctors Mori Bean and Brooks P A 800 Prudential Dr, Jacksonville, FL 32207-8202
Find all physicians in the same organization

Office Location

Street Address 2001 KINGSLEY AVE
City ORANGE PARK
State FL
Zip Code 32073-5148

Physicians in the same location

Name Specialty Organization Address
Henry F Patalinghug Certified Registered Nurse Anesthetist (crna) Anesthesia Physician Solutions of Florida, LLC 2001 Kingsley Ave, Orange Park, FL 32073-5148
Ellen Rose Abellana Anesthesiology Anesthesia Physician Solutions of Florida, LLC 2001 Kingsley Ave, Orange Park, FL 32073-5148
Arthur A Smith Anesthesiology Anesthesia Physician Solutions of Florida, LLC 2001 Kingsley Ave, Orange Park, FL 32073-5148
Joshua Taylor Certified Registered Nurse Anesthetist (crna) Anesthesia Physician Solutions of Florida, LLC 2001 Kingsley Ave, Orange Park, FL 32073-5148
Omar M Garcia Anesthesiology Anesthesia Physician Solutions of Florida, LLC 2001 Kingsley Ave, Orange Park, FL 32073-5148
Timothy D Horvath Certified Registered Nurse Anesthetist (crna) Anesthesia Physician Solutions of Florida, LLC 2001 Kingsley Ave, Orange Park, FL 32073-5148
Abdulmagid A Eddib Internal Medicine Intensive Care Consortium Inc 2001 Kingsley Ave, Orange Park, FL 32073-5148
Elizabeth T Zellner Nurse Practitioner Intensive Care Consortium Inc 2001 Kingsley Ave, Orange Park, FL 32073-5148
Anthony Valachovic Anesthesiology Anesthesia Physician Solutions of Florida, LLC 2001 Kingsley Ave, Orange Park, FL 32073-5148
Justin J Gisel Internal Medicine Intensive Care Consortium Inc 2001 Kingsley Ave, Orange Park, FL 32073-5148
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Physicians in the same zip code prefix

Name Specialty Organization Address
Dawn K Fox Psychologist, Clinical 358 Stiles Ave, Suite B, Orange Park, FL 32073-4012
Joseph N Salameh Chiropractic Jns Physicians Group LLC 1700 Wells Rd, Orange Park, FL 32073-2374
Hilda Yadira Hite Optometry 58 Blanding Blvd, Orange Park, FL 32073-2625
Edwin N Anguas Optometry Myeyedr Optometry of Florida, LLC 28 Blanding Blvd, Orange Park, FL 32073-2202
Robert Morris Chiropractic 1871 Wells Rd, Orange Park, FL 32073-2351
Hewell B Eaves Optometry Mack Eye Care Pa 88 Blanding Blvd, Orange Park, FL 32073-2601
Lauren N Davis Nurse Practitioner St Vincent's Ambulatory Care Inc 550 Wells Rd, Suite 17, Orange Park, FL 32073-2951
Karen R Larson Optometry Dr Kyle D Abshire and Dr James R Hoffman Pa 905 Park Ave, Suite 100, Orange Park, FL 32073-4110
Larry Garland Brown Optometry Mack Eye Care Pa 88 Blanding Blvd, Orange Park, FL 32073-2601
Jaime Marra Clinical Psychologist Psychological Services of Jacksonville LLC 358 Stiles Ave, Suite B, Orange Park, FL 32073-4012
Find all in zip 32073

Competitor

Search similar physicians

City ORANGE PARK
Zip Code 32073
Specialty PHYSICIAN ASSISTANT
City + Specialty ORANGE PARK + PHYSICIAN ASSISTANT

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Dataset Information

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.