| Dr John M Caroline, DO | |
|
619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025-5808 | |
| (386) 755-3016 | |
| (386) 754-7395 |
| Full Name | Dr John M Caroline |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 619 S Marion Ave, Lake City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154394625 | NPI | - | NPPES |
| 82185 | Other | FL | BCBS |
| 268168400 | Medicaid | FL | |
| 291496 | Other | FL | AVMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9028 (Florida) | Primary |
| Entity Name | Nautilus Health Care Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John M Caroline, DO 619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025-5808 Ph: (386) 755-3016 | Dr John M Caroline, DO 619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025-5808 Ph: (386) 755-3016 |
Dr. Rafael Angel Gonzalez Castro, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6352 | |
Todd A Fife, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 Fax: 386-758-6140 | |
Dr. Richard L Wright Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Sw Stonegate Ter Ste 101, Lake City, FL 32024 Phone: 386-755-0421 Fax: 386-487-1234 | |
Dr. Robert E Bell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-719-3622 | |
Dr. Harish Ram Kotipoyina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 Nw Commerce Dr, Lake City, FL 32055 Phone: 386-719-9000 | |
Dr. Kathleen Erina Mcnamara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 South Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 304-368-0378 |