| Dr Michael B Ibach, MD | |
|
1375 Roberts Dr, Ste 204, Jacksonville Beach, FL 32250-3210 | |
| (904) 247-0056 | |
| (904) 241-0065 |
| Full Name | Dr Michael B Ibach |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 37 Years |
| Location | 1375 Roberts Dr, Jacksonville Beach, 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 |
|---|---|---|---|
| 1053362723 | NPI | - | NPPES |
| 14AW4 | Other | FL | BCBS |
| 003230300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 26687 (Tennessee) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | ME67895 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Borland Groover Clinic, Pa | 6507761301 | 118 |
| Entity Name | Borland Groover Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881644912 PECOS PAC ID: 6507761301 Enrollment ID: O20031204000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael B Ibach, MD 4800 Belfort Rd, Jacksonville, FL 32256-6004 Ph: (904) 398-3262 | Dr Michael B Ibach, MD 1375 Roberts Dr, Ste 204, Jacksonville Beach, FL 32250-3210 Ph: (904) 247-0056 |
Stephen E Grable, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1504 Roberts Drive, Jacksonville Beach, FL 32250 Phone: 904-247-7455 Fax: 904-247-8550 | |
Dr. Anne Thu-anh Bui, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 50 3rd Ave S Apt 803, Jacksonville Beach, FL 32250 Phone: 409-354-1961 | |
William Wainwright, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-241-5492 | |
Thomas Carens Hilton, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1320 Roberts Dr Ste 101, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-376-3213 | |
Juan Daniel Pulido, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1370 13th Ave South, Suite 218, Jacksonville Beach, FL 32250 Phone: 904-853-6154 Fax: 904-853-6412 | |
Dr. Thomas G Gaddis, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899 |