| Elizabeth C Wonpat, MD | |
|
4607 Us Highway 17, Orange Park, FL 32003-7866 | |
| (904) 269-4559 | |
| (904) 269-4597 |
| Full Name | Elizabeth C Wonpat |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 4607 Us Highway 17, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952503369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME101685 (Florida) | Primary |
| 208M00000X | Hospitalist | 101685 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Jackson Health System | Miami, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hni Hospital Services Of Florida Llc | 0244661353 | 53 |
| Inpatient Consultants Of Florida, Inc | 4789614785 | 150 |
| Hni Medical Services Of Florida, Llc | 7517202112 | 101 |
| Oak Grove Physician Services Pa | 8628421526 | 71 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Lake Wales Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164902797 PECOS PAC ID: 8426390964 Enrollment ID: O20190502000025 |
| Entity Name | Hni Hospital Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799 |
| Entity Name | Deerfield Beach Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366100364 PECOS PAC ID: 3274928270 Enrollment ID: O20220520002459 |
| Entity Name | Oak Grove Physician Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689446700 PECOS PAC ID: 8628421526 Enrollment ID: O20240126002791 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth C Wonpat, MD 4607 Us Highway 17, Orange Park, FL 32003-7866 Ph: (904) 269-4559 | Elizabeth C Wonpat, MD 4607 Us Highway 17, Orange Park, FL 32003-7866 Ph: (904) 269-4559 |
Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553 | |
Tonya Nichelle Hollinger, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2285 Kingsley Ave Ste E, Orange Park, FL 32073 Phone: 904-309-9660 Fax: 844-388-6186 | |
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 Park Ave Ste A, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492 | |
Dr. Justin Myles Stark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266 | |
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225 |