Catherine Anne Cheries, PA
Individual provider Active NPI Physician Assistant · Sebastian, FL
NPI 1780679274 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1780679274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9102091 (FL)
- Practice address
- 1515 US Highway 1
Suite 204
Sebastian, FL 32958-1612 - Phone
- (772) 388-1161
- Fax
- (772) 388-1470
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Melissa Ann Dean MD PL
Practice addresses (Care Compare)
1345 36TH St
Suite B
Vero Beach, FL 32960-4811
1345 36TH St B
Vero Beach, FL 32960-4811
Phone (772) 567-1500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040224001112 | FL | Practitioner - Physician Assistant | 4789570029 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102091 | FL | Yes |
Addresses
Primary practice location
1515 US Highway 1
Suite 204
Sebastian, FL 32958-1612
Mailing address
1345 36TH St
Ste B
Vero Beach, FL 32960-4811
Phone (772) 388-1161
Other providers in Sebastian, FL
- Kerlyne Charles-Jeune
- Patti Charles
- Chavez Jo Internal Medicine P.a.
- Edgard Chavez
- Katiusca Chavez
- David L. Christensen
- Betty C Chukwuma
- Clark Chiropractic and Wellness PLLC
- Joshua Clark
- Clelland Counseling & Consulting Services, P.a.
All providers in Sebastian, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.