| Dr Craig A Dolven, DO | |
|
1825 Kingsley Ave Ste 200, Orange Park, FL 32073-4484 | |
| (904) 264-8621 | |
| (904) 215-9418 |
| Full Name | Dr Craig A Dolven |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 1825 Kingsley Ave Ste 200, Orange Park, 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 |
|---|---|---|---|
| 1962504787 | NPI | - | NPPES |
| 015808300 | Medicaid | FL | |
| 3235477 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009987 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Concierge Home Care | Orange park, FL | Home health agency |
| Nurse On Call | Daytona beach, FL | Home health agency |
| Orange Park Medical Center | Orange park, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Family Practice Associates, Llc | 8820003411 | 52 |
| Entity Name | Memorial Family Practice Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig A Dolven, DO 1594 Kingsley Ave, Orange Park, FL 32073-4546 Ph: (904) 264-8621 | Dr Craig A Dolven, DO 1825 Kingsley Ave Ste 200, Orange Park, FL 32073-4484 Ph: (904) 264-8621 |
Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553 | |
Tonya Nichelle Hollinger, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2285 Kingsley Ave Ste E, Orange Park, FL 32073 Phone: 904-309-9660 Fax: 844-388-6186 | |
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 Park Ave Ste A, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492 | |
Dr. Justin Myles Stark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266 | |
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225 |