| Dr Anthony L Capasso, MD | |
|
1351 13th Ave S Ste 105-110, Jacksonville Beach, FL 32250-3234 | |
| (904) 694-0992 | |
| (904) 595-5344 |
| Full Name | Dr Anthony L Capasso |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1351 13th Ave S Ste 105-110, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932105434 | NPI | - | NPPES |
| 28510A | Other | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 0069518 (Florida) | Primary |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony L Capasso, MD 1351 13th Ave S Ste 110, Jacksonville Beach, FL 32250-3237 Ph: (904) 694-0992 | Dr Anthony L Capasso, MD 1351 13th Ave S Ste 105-110, Jacksonville Beach, FL 32250-3234 Ph: (904) 694-0992 |
Stephen E Grable, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1504 Roberts Drive, Jacksonville Beach, FL 32250 Phone: 904-247-7455 Fax: 904-247-8550 | |
Dr. Anne Thu-anh Bui, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 3rd Ave S Apt 803, Jacksonville Beach, FL 32250 Phone: 409-354-1961 | |
Dr. Michael B Ibach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1375 Roberts Dr, Ste 204, Jacksonville Beach, FL 32250 Phone: 904-247-0056 Fax: 904-241-0065 | |
William Wainwright, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-241-5492 | |
Thomas Carens Hilton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Roberts Dr Ste 101, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-376-3213 | |
Juan Daniel Pulido, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1370 13th Ave South, Suite 218, Jacksonville Beach, FL 32250 Phone: 904-853-6154 Fax: 904-853-6412 | |
Dr. Thomas G Gaddis, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899 |