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Danielle Suzanne Weinert

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as DANIELLE WEINERT.

Based on the most recent information from CMS, provider Danielle Suzanne Weinert is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1154595064
Provider Type
Individual
Full Name
Weinert, Danielle Suzanne
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
4/22/2008
Last Updated
10/6/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9222613 Florida

Provider Identifiers

ID	Description	Issuer
ID 309158900	Description Medicaid	Issuer Unlisted Florida

Danielle Suzanne Weinert

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Laroche, Kaley A

Finch, Danielle

Winter, Angelina

Ayer, Faith Elizabeth

Conigliaro, Michael Joseph

Cushenbery, Kristin

Schivelbein, Ashley Ann

Spicer, Lakesha Nichole

Segars, Kelly White

Goolsby-Zak, Ashley Michele