| Dr Michael A Fallucco, MD | |
|
14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418 | |
| (904) 262-3372 | |
| (904) 262-3306 |
| Full Name | Dr Michael A Fallucco |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 21 Years |
| Location | 14540 Old Saint Augustine Rd, Jacksonville, 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 |
|---|---|---|---|
| 1851594436 | NPI | - | NPPES |
| 14C77 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | ME109463 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons, Pa | 2769381391 | 316 |
| Entity Name | North Florida Surgeons, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Fallucco, MD 11945 San Jose Blvd, Bldg. 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Dr Michael A Fallucco, MD 14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418 Ph: (904) 262-3372 |
John Murray, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4555 Emerson St, Suite 230, Jacksonville, FL 32207 Phone: 904-633-0130 Fax: 904-633-0131 | |
Blake Taylor Dunson, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sarvam Terkonda, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mohamad Reza Samiian, MD PA Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4221 Southpoint Pkwy, Jacksonville, FL 32216 Phone: 904-296-2810 Fax: 904-296-3424 | |
David Colton Riley, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Paige Cummings, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Miss Kathleen R Renner, A.P.R.N. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4147 Southpoint Dr East, Optional, Jacksonville, FL 32216 Phone: 904-332-6774 Fax: 904-661-0028 |