| Dr Mohammad Hassan Aboushaar, MD | |
|
1555 Kingsley Ave, Suite 601, Orange Park, FL 32073-4560 | |
| (904) 264-0264 | |
| (904) 278-2437 |
| Full Name | Dr Mohammad Hassan Aboushaar |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1555 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194740993 | NPI | - | NPPES |
| 376161400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME65257 (Florida) | Primary |
| 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 Mohammad Hassan Aboushaar, MD 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Dr Mohammad Hassan Aboushaar, MD 1555 Kingsley Ave, Suite 601, Orange Park, FL 32073-4560 Ph: (904) 264-0264 |
John Chan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Ashley K Wright, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-364-3018 | |
Mrs. Daya J Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Bldg 9, Orange Park, FL 32073 Phone: 904-264-1958 Fax: 904-264-1677 | |
Dr. Charles T Dellinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Mark D Bedard, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Credentialing Department, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Dr. Thomas Michael Hardin, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1555 Kingsley Ave, Suite 601, Orange Park, FL 32073 Phone: 904-264-0264 Fax: 904-278-0437 |