Jennifer L Misechok, PA-C - Medicare Physician Assistant in St Petersburg, FL

Jennifer L Misechok, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in St Petersburg, Florida. Her current practice location is 10 Pasadena Ave N, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 381-2500.

Jennifer L Misechok is licensed to practice in Florida (license number PA9103594) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619952934.

Contact Information

Jennifer L Misechok, PA-C
10 Pasadena Ave N,
St Petersburg, FL 33710-8330
(727) 381-2500
(727) 343-8746



Physician's Profile

Full NameJennifer L Misechok
GenderFemale
SpecialityPhysician Assistant - Surgical
Location10 Pasadena Ave N, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619952934
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 11/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113940487
  • Enrollment ID: I20060112000611

Medical Identifiers

Medical identifiers for Jennifer L Misechok such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619952934NPI-NPPES
PA9103594OtherFLLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine PA9103594 (Florida)Secondary
363AS0400XPhysician Assistant - Surgical PA9103594 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer L Misechok is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer L Misechok, PA-C
Po Box 40658,
St Petersburg, FL 33743-0658

Ph: (727) 381-2500
Jennifer L Misechok, PA-C
10 Pasadena Ave N,
St Petersburg, FL 33710-8330

Ph: (727) 381-2500

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