| Charrell Thomas, MD | |
|
800 Prudential Dr, Jacksonville, FL 32207-8202 | |
| (904) 202-1784 | |
| Not Available |
| Full Name | Charrell Thomas |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 800 Prudential Dr, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427195957 | NPI | - | NPPES |
| 258985100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | ME80036 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | ME80036 (Florida) | Primary |
| Entity Name | Pediatrix Medical Group Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
| Entity Name | Ob Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528034170 PECOS PAC ID: 3072424282 Enrollment ID: O20100505000869 |
| Entity Name | Dhp Of Manatee Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134771611 PECOS PAC ID: 5799016846 Enrollment ID: O20191004000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Charrell Thomas, MD 9968 Watermark Ln W, Jacksonville, FL 32256-4104 Ph: (904) 314-5256 | Charrell Thomas, MD 800 Prudential Dr, Jacksonville, FL 32207-8202 Ph: (904) 202-1784 |
Frank E Trogolo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-647-6946 Fax: 844-473-3117 | |
Fernando Miguel Fernandez, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-268-5300 Fax: 904-268-5040 | |
Kayla Bagwell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11945 San Jose Blvd, Jacksonville, FL 32223 Phone: 904-262-5333 | |
Dr. Judy Bowers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6850 | |
Dr. Joann G Acuna, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1800, Jacksonville, FL 32207 Phone: 904-398-7684 Fax: 904-398-4998 | |
Dr. Autumn Gabrielle Prieto, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-383-1037 Fax: 904-244-4059 | |
Ina Jani, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1301 Palm Ave Ste 700, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-2754 |