| Craig R Cazenave, MD | |
|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
| (614) 210-1885 | |
| (614) 210-1886 |
| Full Name | Craig R Cazenave |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 44 Years |
| Location | 1000 Mar Walt Dr, Fort Walton 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 |
|---|---|---|---|
| 1861463937 | NPI | - | NPPES |
| 104206 | Medicaid | AL | |
| 104468 | Medicaid | AL | |
| 107070 | Medicaid | AL | |
| 109478 | Medicaid | AL | |
| 000101258 | Medicaid | AL | |
| 108288 | Medicaid | AL | |
| 104470 | Medicaid | AL | |
| 104236 | Medicaid | AL | |
| 104466 | Medicaid | AL | |
| 104205 | Medicaid | AL | |
| 048160200 | Medicaid | FL | |
| 05668 | Other | FL | BCBS |
| 104250 | Medicaid | AL | |
| 107073 | Medicaid | AL | |
| 104239 | Medicaid | AL | |
| 108893 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME42584 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Twin Cities Hospital | Niceville, FL | Hospital |
| North Okaloosa Medical Center | Crestview, FL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Physician Solutions Of North Florida Llc | 2466710306 | 80 |
| Entity Name | Sheridan Radiology Services Of Central Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487708814 PECOS PAC ID: 4688762149 Enrollment ID: O20071116000118 |
| Entity Name | Radiology Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20180216001493 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig R Cazenave, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (614) 210-1885 | Craig R Cazenave, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (614) 210-1885 |
Bethany A Cazenave, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 614-210-1885 Fax: 614-210-1886 | |
Warren R. Amos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1026 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-5294 Fax: 850-864-1648 | |
Dr. Vincent Thomas Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 | |
Maan Elkhatib, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Tara Marie Otto, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 220 Fliva Ave Nw, Fort Walton Beach, FL 32548 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Walter William Perrott, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 866-775-5053 Fax: 614-764-9147 | |
Dr. John Patrick Mawn, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 814-335-4131 |