Look up the most recent NPI and PECOS records

Anatoliy Daynega

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

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

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Anatoliy Daynega 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
1184205775
Provider Type
Individual
Full Name
Daynega, Anatoliy
Gender
Male

Sole Proprietor
Yes
Enumeration Date
4/15/2021
Last Updated
2/6/2023

Contact Information

Practice Location

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

(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 APRN11012419 Florida
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11012419 Florida

Anatoliy Daynega

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Tatum, Mary E

Wright, Brittany Nicole

Fields, Pamela Dawn

Jewell, Katherine Arlene

Pitruzzello, Nancy

Keever, Jessica Lynne

Hartley, Michel

Spicer, Lakesha Nichole

Avens, Nicole

Watson, Cecilia