Praful B Patel, MD | |
4203 Belfort Rd Ste 345, Jacksonville, FL 32216-1469 | |
(904) 450-6461 | |
(904) 450-6469 |
Full Name | Praful B Patel |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 35 Years |
Location | 4203 Belfort Rd Ste 345, Jacksonville, 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 |
---|---|---|---|
1396760575 | NPI | - | NPPES |
00921533A | Medicaid | GA | |
261796000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | ME82902 (Florida) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | ME82902 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Petaluma Valley Hospital | Petaluma, CA | Hospital |
St Joseph Hospital | Eureka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1293 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Praful B Patel, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Praful B Patel, MD 4203 Belfort Rd Ste 345, Jacksonville, FL 32216-1469 Ph: (904) 450-6461 |
Dr. Jami Ann Rothe Kinnucan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |