| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHARLES WESLEY JONES | 1053322461 | 2023-01-22 |
Charles W Jones PA [M] graduated in 1997 and primarily specializes in Physician Assistant.
Charles Wesley Jones is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053322461. Registration indicates Charles Wesley Jones is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| PECOS ID | 2961445515 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mr. Charles Wesley Jones PA |
| Practice Office Address | 1223 GATEWAY DR STE 2E MELBOURNE, FL US |
| Practice Office Telephone | 3213123490 |
| Practice Office Fax | 3219526946 |
| Mailing Address | 3300 S FISKE BLVD ROCKLEDGE, FL 329554306 US |
| Business Telephone | 3213123490 |
| Business Fax | 3219517408 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA9106981
FL |
| 101659300 | MEDICAID | FL | |
| HM432Y | OTHER | FL | MEDICARE |