| Dr Brent Stottman, DO | |
|
410 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | |
| (904) 379-2202 | |
| Not Available |
| Full Name | Dr Brent Stottman |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 12 Years |
| Location | 410 Jacksonville Dr, Jacksonville 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 |
|---|---|---|---|
| 1598045106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | OS11937 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Physicians Foundation Corporation | 0941113294 | 4 |
| Digestive Disease Consultants | 1850515040 | 12 |
| Entity Name | American Physicians Foundation Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922013754 PECOS PAC ID: 0941113294 Enrollment ID: O20031112000037 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Baycare Urgent Care, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184677007 PECOS PAC ID: 6103841051 Enrollment ID: O20051010000665 |
| Entity Name | Digestive Disease Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710251921 PECOS PAC ID: 1850515040 Enrollment ID: O20191205001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Stottman, DO 2151 Riverside Ave, Jacksonville, FL 32204-4416 Ph: (904) 388-8686 | Dr Brent Stottman, DO 410 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 Ph: (904) 379-2202 |
Stephen E Grable, MD Gastroenterology 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 Gastroenterology 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. Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899 |