| Dr Debbie A Berlin, MD | |
|
1555 Kingsley Ave, Suite 503, Orange Park, FL 32073-9207 | |
| (904) 278-5088 | |
| (904) 264-4910 |
| Full Name | Dr Debbie A Berlin |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 1555 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245288471 | NPI | - | NPPES |
| P00146174 | Other | FL | RAILROAD MEDICARE |
| 274974200 | Medicaid | FL | |
| 294216 | Other | AVMED | |
| 7431565 | Other | AETNA | |
| 50705 | Other | BCBS FL | |
| 5953872 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME90493 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons, Pa | 2769381391 | 316 |
| Entity Name | North Florida Surgeons, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Debbie A Berlin, MD 11945 San Jose Blvd, Bldg 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Dr Debbie A Berlin, MD 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073-9207 Ph: (904) 278-5088 |
Antonio Desean Lozada, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 Fax: 904-276-9235 | |
Joshua Mark Yeykal, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 | |
Noaman Syed Ali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1825 Kingsley Ave Ste 150, Orange Park, FL 32073 Phone: 904-264-5426 Fax: 904-264-5427 | |
Dr. Michael S. Gilligan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073 Phone: 904-278-5088 Fax: 904-264-4910 | |
Eric Ferguson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073 Phone: 904-276-2549 | |
Dr. Mark Blum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 Fax: 904-276-9223 |