| Dr Juan Carlos Fuentes, MD | |
|
2570 Race Track Rd, St Johns, FL 32259-4588 | |
| (904) 819-1005 | |
| (904) 819-1002 |
| Full Name | Dr Juan Carlos Fuentes |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 2570 Race Track Rd, St Johns, 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 |
|---|---|---|---|
| 1487855987 | NPI | - | NPPES |
| P01389011 | Other | FL | RAILROAD MEDICARE |
| 1487855987 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME99492 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 765 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212 |
| Entity Name | Vmd Primary Providers Central Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134738974 PECOS PAC ID: 2860806197 Enrollment ID: O20210128001072 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juan Carlos Fuentes, MD Po Box 100237, Gainesville, FL 32610-0237 Ph: (904) 819-1005 | Dr Juan Carlos Fuentes, MD 2570 Race Track Rd, St Johns, FL 32259-4588 Ph: (904) 819-1005 |
Nicole Alyson Mcclone, DPT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3055 County Road 210 W Ste 110, St Johns, FL 32259 Phone: 904-825-0540 Fax: 904-825-2490 | |
Thu Phuoc Anh Truong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 | |
Kamaldeep Sethi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 | |
Kyle B Herring, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 | |
Dr. Tony L. Willson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, St Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 |