| Dr Mohamed Omar Radwan, MD | |
|
1325 San Marco Blvd, Reid Building, Ste 300, Jacksonville, FL 32207-8568 | |
| (904) 253-6910 | |
| (904) 253-6964 |
| Full Name | Dr Mohamed Omar Radwan |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 24 Years |
| Location | 1325 San Marco Blvd, 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 |
|---|---|---|---|
| 1063746873 | NPI | - | NPPES |
| 003911100 | Medicaid | FL | |
| 936658 | Other | FL | AETNA |
| P01364661 | Other | FL | MEDICARE RAILROAD |
| 59-3385828 | Other | FL | TAX ID FOR OTHER INSURANCES |
| 14H00 | Other | FL | BCBS |
| 348958 | Other | FL | AVMED |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Jolla Pulmonary And Critical Care Inc | 7911908645 | 8 |
| Scripps Health Inpatient Providers Medical Group Inc | 9436314762 | 173 |
| Entity Name | La Jolla Pulmonary And Critical Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912076365 PECOS PAC ID: 7911908645 Enrollment ID: O20070124000291 |
| Entity Name | Scripps Health Inpatient Providers Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699043000 PECOS PAC ID: 9436314762 Enrollment ID: O20120711000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamed Omar Radwan, MD 1325 San Marco Blvd, Reid Building, Ste 300, Jacksonville, FL 32207-8568 Ph: (904) 253-6910 | Dr Mohamed Omar Radwan, MD 1325 San Marco Blvd, Reid Building, Ste 300, Jacksonville, FL 32207-8568 Ph: (904) 253-6910 |
Dr. Jami Ann Rothe Kinnucan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |