| Dr Brent Dalee Libby, MD | |
|
Attn: Medical Staff Services Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | |
| (904) 542-7200 | |
| Not Available |
| Full Name | Dr Brent Dalee Libby |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | Attn: Medical Staff Services Bldg. H 2005 Knight Lane, 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 |
|---|---|---|---|
| 1821078346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101232281 (Virginia) | Primary |
| Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
| Entity Name | Baker Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396807319 PECOS PAC ID: 3779689807 Enrollment ID: O20190318000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Dalee Libby, MD 7 Pleasant Place Ct, Beaufort, SC 29907-1187 Ph: (843) 524-0743 | Dr Brent Dalee Libby, MD Attn: Medical Staff Services Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 Ph: (904) 542-7200 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 | |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 | |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 | |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 | |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Naciye Turan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-4202 |