Dr Jesse Seth Greenblum, MD | |
1411 S 14th St, Suite B, Fernandina Beach, FL 32034-3031 | |
(904) 261-5605 | |
(904) 277-0725 |
Full Name | Dr Jesse Seth Greenblum |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 44 Years |
Location | 1411 S 14th St, Fernandina Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265547103 | NPI | - | NPPES |
00395117A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME45241 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Halifax Healthcare Systems Inc | 1254238090 | 278 |
Entity Name | Halifax Healthcare Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Seth Greenblum, MD 1411 S 14th St, Suite B, Fernandina Beach, FL 32034-3031 Ph: (904) 261-5605 | Dr Jesse Seth Greenblum, MD 1411 S 14th St, Suite B, Fernandina Beach, FL 32034-3031 Ph: (904) 261-5605 |
Mrs. Agata Nelson, LM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 910 S 8th St, Suite 100, Fernandina Beach, FL 32034 Phone: 904-875-4278 Fax: 904-572-1571 | |
Edmund William Mcgrath Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1411 S 14th St Ste D, Fernandina Beach, FL 32034 Phone: 904-321-0064 Fax: 904-491-3113 |