| Dr Samuel W Mietling, MD | |
|
2416 Dunn Avenue, Jacksonville, FL 32218-1015 | |
| (904) 353-3664 | |
| (904) 353-3858 |
| Full Name | Dr Samuel W Mietling |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 41 Years |
| Location | 2416 Dunn Avenue, 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 |
|---|---|---|---|
| 1750347589 | NPI | - | NPPES |
| 00952795C | Medicaid | GA | |
| 00952795A | Medicaid | GA | |
| 00952795B | Medicaid | GA | |
| 1346357217 | Other | NPI - VASCULAR RADIOLOGY | |
| 83555 | Other | SC | SC MEDICAL LICENSE |
| G51686 | Medicaid | SC |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Access Care Of Jacksonville Llc | 3072787340 | 3 |
| American Access Care Of Atlanta Llc | 3072687375 | 3 |
| Entity Name | American Access Care Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669771168 PECOS PAC ID: 3072787340 Enrollment ID: O20111122000935 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel W Mietling, MD Po Box 3129, Augusta, GA 30914-3129 Ph: (706) 737-4575 | Dr Samuel W Mietling, MD 2416 Dunn Avenue, Jacksonville, FL 32218-1015 Ph: (904) 353-3664 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 | |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 | |
Jonathan William Parker, MD Radiology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 | |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 | |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |