Jennifer B. Marjama, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9105964 Issued in FL

Practice address

1315 NW 21St Ave
Chiefland, FL 32626-1977

Phone

(352) 493-1655

Fax

(352) 490-8641

NPI assigned

Jun 29, 2011

Last updated

Nov 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer B Lowe Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simedhealth LLCGroup PAC ID 6608137054, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simedhealth LLC

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1639680127
  Medicare reassignment Care Compare group
• Dagoberto J Garcia Jr MD PA

  • Physical Medicine & Rehabilitation Physician
  • Coral Gables, FL
  • NPI 1447485909
  Medicare reassignment
• Simed Health LLC

  dba SIMEDHEALTH Pharmacy

  • Community/Retail Pharmacy
  • Gainesville, FL
  • NPI 1376616698
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pinnacle Home Care of the Villages LLC

  • Home Health Agency
  • The Villages, FL
  • NPI 1982933321
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1215224290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261977",
            "telephone_number": "352-493-1655",
            "fax_number": "352-490-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261977",
            "telephone_number": "352-493-1655",
            "fax_number": "352-490-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARJAMA",
        "first_name": "JENNIFER",
        "middle_name": "B.",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LOWE",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bridgette Renee Loska, APRN, FNP-C
• Charles F Luckhardt II, M.ED.,C.P.O.,L.P.O.
• Angela Luke
• Angela Dawn Mangrum, M.ED.
• Forrest Ryan Marchant
• Christopher Jordan Marlo, MSPT
• Stacey Jones Marlo, PT
• William B Martin, DMD
• Sally Teadt Martinez, FNP-BC, DNP
• Matthew Cole Medei, DPT

• Medical Physician Assistant in Chiefland, FL
• Providers in Chiefland, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.