Look up the most recent NPI and PECOS records

Melissa Mccrary

Physician Assistant

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 Melissa Mccrary 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 2 days ago.

Profile Details

Provider ID
1639328800
Provider Type
Individual
Full Name
Mccrary, Melissa
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
9/12/2008
Last Updated
3/4/2022

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 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA9104715 Florida
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 8745 Arizona

Melissa Mccrary

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Spinner, Shayla Berry

Barrow, Britney Popp

Czepizak, Christine A.

Gajarawala, Shilpa

Avalon, Nicole Elizabeth

Gajarawala, Nikunj

Robinson, Eric

Salahshor, Susan

Godart, Gabriel Anthony

Conley, Alana Estore