| Dr Abdallah Mohamed Jeroudi, MD | |
|
2639 Oak St, Jacksonville, FL 32204-4505 | |
| (904) 387-5600 | |
| (904) 388-0114 |
| Full Name | Dr Abdallah Mohamed Jeroudi |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 14 Years |
| Location | 2639 Oak St, 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 |
|---|---|---|---|
| 1730479650 | NPI | - | NPPES |
| 003188625 | Medicaid | GA | |
| 019742700 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Retina Vitreous Consultants | 4082610019 | 42 |
| Retina Vitreous Consultants | 4082610019 | 42 |
| Entity Name | Florida Retina Institute James A Staman Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447328026 PECOS PAC ID: 8123004702 Enrollment ID: O20040819000493 |
| Entity Name | Retina Vitreous Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699773796 PECOS PAC ID: 4082610019 Enrollment ID: O20240124000941 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abdallah Mohamed Jeroudi, MD 8786 Perimeter Park Blvd, Jacksonville, FL 32216-6347 Ph: (904) 997-9202 | Dr Abdallah Mohamed Jeroudi, MD 2639 Oak St, Jacksonville, FL 32204-4505 Ph: (904) 387-5600 |
Jeffrey Herschel Levenson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 751 Oak St Ste 200, Jacksonville, FL 32204 Phone: 904-366-3781 | |
Frank Wilson Mcdonald, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 751 Oak St, 200, Jacksonville, FL 32204 Phone: 904-366-3781 | |
Charles V Duss, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3316 3rd St S, Suite 103, Jacksonville, FL 32250 Phone: 904-241-7865 | |
Dr. Kenzo James Paul Koike, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11512 Lake Mead Ave Unit 534, Jacksonville, FL 32256 Phone: 904-564-2020 | |
Dr. Adam David Koenigsberg, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 8833 Perimeter Park Blvd, # 403, Jacksonville, FL 32216 Phone: 904-996-7774 Fax: 904-996-9511 | |
Dr. Rajiv Raman, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 580 W 8th St, Jacksonville, FL 32209 Phone: 904-244-9390 Fax: 904-244-9391 | |
Dr. Rachana Ashok Patel, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13453 N Main St Ste 306, Jacksonville, FL 32218 Phone: 904-564-2020 Fax: 904-683-3934 |