| Dr Vincent M Ivers, | |
|
301 20th St, Port St Joe, FL 32456-3301 | |
| (850) 227-7070 | |
| (850) 227-1989 |
| Full Name | Dr Vincent M Ivers |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 301 20th St, Port St Joe, 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 |
|---|---|---|---|
| 1851366702 | NPI | - | NPPES |
| 376567900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0065165 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nhc Homecare | Carrabelle, FL | Home health agency |
| Anchor Homecare | Wewahitchka, FL | Home health agency |
| George E Weems Memorial Hospital | Apalachicola, FL | Hospital |
| Ascension Sacred Heart Gulf | Port saint joe, FL | Hospital |
| Entity Name | Vincent M Ivers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619085354 PECOS PAC ID: 1153345715 Enrollment ID: O20060123000143 |
| Entity Name | Southland Hospitalist At Weems Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801170113 PECOS PAC ID: 2860667508 Enrollment ID: O20111208000449 |
| Entity Name | Southland Ems At Weems Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124302443 PECOS PAC ID: 8820263171 Enrollment ID: O20111214000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vincent M Ivers, 8401 Tradewinds Dr, Port St Joe, FL 32456 Ph: (850) 478-1312 | Dr Vincent M Ivers, 301 20th St, Port St Joe, FL 32456-3301 Ph: (850) 227-7070 |
Mrs. Carol A Sutton, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 220 9th St, Port St Joe, FL 32456 Phone: 850-229-8244 Fax: 850-229-6003 |