| Dr Marvin Jason Young, MD | |
|
1071 S Sun Dr, Suite 1003, Lake Mary, FL 32746-2405 | |
| (407) 302-2620 | |
| (407) 302-2690 |
| Full Name | Dr Marvin Jason Young |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 31 Years |
| Location | 1071 S Sun Dr, Lake Mary, 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 |
|---|---|---|---|
| 1235221219 | NPI | - | NPPES |
| 000105000 | Medicaid | FL | |
| ME80601 | Other | FL | STATE LICENSE # |
| PTAN# DO3210 | Other | FL | RR MEDICARE |
| GROUP # 000354800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME80601 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Florida Regional Hospital | Sanford, FL | Hospital |
| Oviedo Medical Center | Oviedo, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Florida Physician Network Llc | 5193895969 | 12 |
| Entity Name | Central Florida Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932375193 PECOS PAC ID: 5193895969 Enrollment ID: O20080605000231 |
| Entity Name | Osceola Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578723540 PECOS PAC ID: 0840366126 Enrollment ID: O20080910000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marvin Jason Young, MD 1071 S Sun Dr, Suite 1003, Lake Mary, FL 32746-2405 Ph: (407) 302-2620 | Dr Marvin Jason Young, MD 1071 S Sun Dr, Suite 1003, Lake Mary, FL 32746-2405 Ph: (407) 302-2620 |
Charles N Witten, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746 Phone: 407-332-7700 Fax: 321-275-0339 | |
Dr. Michael D Friedman, MD Urology Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746 Phone: 407-332-7700 Fax: 321-275-0344 | |
Ravindra R Jahagirdar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 N 8th St, Lake Mary, FL 32746 Phone: 407-330-1100 Fax: 407-321-8820 | |
David S Ali, Urology Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746 Phone: 407-332-7700 Fax: 407-332-9749 |