| Dr Kent Thomas Braeutigam, DO | |
|
3839 County Road 218, Middleburg, FL 32068-5708 | |
| (904) 282-5474 | |
| (904) 282-5824 |
| Full Name | Dr Kent Thomas Braeutigam |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 3839 County Road 218, Middleburg, 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 |
|---|---|---|---|
| 1063437861 | NPI | - | NPPES |
| 046178400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS5110 (Florida) | Secondary |
| 208D00000X | General Practice | OS5110 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Concierge Home Care | Orange park, FL | Home health agency |
| Florida First Care Inc | Orange park, FL | Home health agency |
| Kindred At Home | Orange park, FL | Home health agency |
| Beyond Home Health Care Services Llc | Jacksonville, FL | Home health agency |
| Nurse On Call | Daytona beach, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Group Services Pa | 1254238579 | 92 |
| Entity Name | Physicians Group Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kent Thomas Braeutigam, DO 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Dr Kent Thomas Braeutigam, DO 3839 County Road 218, Middleburg, FL 32068-5708 Ph: (904) 282-5474 |