| Dr Tony L Willson, MD | |
|
1310 County Road 210 W, St Johns, FL 32259-1183 | |
| (904) 824-4407 | |
| (904) 390-7459 |
| Full Name | Dr Tony L Willson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 1310 County Road 210 W, St Johns, 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 |
|---|---|---|---|
| 1982798310 | NPI | - | NPPES |
| 65779827 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0052091 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | ME97817 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 420 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tony L Willson, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Dr Tony L Willson, MD 1310 County Road 210 W, St Johns, FL 32259-1183 Ph: (904) 824-4407 |
Nicole Alyson Mcclone, DPT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3055 County Road 210 W Ste 110, St Johns, FL 32259 Phone: 904-825-0540 Fax: 904-825-2490 | |
Thu Phuoc Anh Truong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 | |
Dr. Juan Carlos Fuentes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Race Track Rd, St Johns, FL 32259 Phone: 904-819-1005 Fax: 904-819-1002 | |
Kamaldeep Sethi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 | |
Kyle B Herring, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 |