| Dr Jeremy Alan Caudill, DO | |
|
2460 Old Moultrie Rd Ste 3, Saint Augustine, FL 32086-4198 | |
| (904) 797-6627 | |
| (386) 328-4125 |
| Full Name | Dr Jeremy Alan Caudill |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 2460 Old Moultrie Rd Ste 3, Saint Augustine, 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 |
|---|---|---|---|
| 1265650295 | NPI | - | NPPES |
| 002389800 | Medicaid | FL | |
| 003413200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OS10861 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagler Hospital | Saint augustine, FL | Hospital |
| Ascension St Vincent's St Johns County | St johns, FL | Hospital |
| Entity Name | Jeremy Caudill DO |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437684032 PECOS PAC ID: 8527337146 Enrollment ID: O20170712003568 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Alan Caudill, DO 2460 Old Moultrie Rd Ste 3, Saint Augustine, FL 32086-4198 Ph: (904) 797-6627 | Dr Jeremy Alan Caudill, DO 2460 Old Moultrie Rd Ste 3, Saint Augustine, FL 32086-4198 Ph: (904) 797-6627 |
Matthew Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 304 Ashourian Ave Ste 107, Saint Augustine, FL 32092 Phone: 904-657-4103 |
Fawzi Souheil Farha, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 206 Ashourian Ave Ste 213, Saint Augustine, FL 32092 Phone: 904-990-0777 Fax: 888-464-0609 |