| Garrett D Cudmore, DO | |
|
45465 Fifth Ave, Callahan, FL 32011-3901 | |
| (904) 879-4544 | |
| (904) 390-7472 |
| Full Name | Garrett D Cudmore |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 45465 Fifth Ave, Callahan, 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 |
|---|---|---|---|
| 1154907061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS21394 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Home Health Care | Jacksonville, FL | Home health agency |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, 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 |
|---|---|
| Garrett D Cudmore, DO Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092 | Garrett D Cudmore, DO 45465 Fifth Ave, Callahan, FL 32011-3901 Ph: (904) 879-4544 |
Brett J Lawson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450077 State Road 200 Ste 12, Callahan, FL 32011 Phone: 904-633-0560 | |
Mark Nicholas Brinkman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45465 Fifth Ave, Callahan, FL 32011 Phone: 904-879-4544 Fax: 904-879-4411 | |
Dr. Kiersten Lea Prince, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45465 Fifth Ave, Callahan, FL 32011 Phone: 904-879-4544 Fax: 904-879-4411 | |
Dr. Warren S Groff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 45465 Fifth Ave, Credentialing Department, Callahan, FL 32011 Phone: 904-879-4544 Fax: 904-879-4411 | |
Dr. Melina Sapida, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 449621 Us Highway 301 Ste 110, Callahan, FL 32011 Phone: 904-507-2692 Fax: 904-507-2693 | |
Stephanie Pearson Meyer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45465 Fifth Ave, Callahan, FL 32011 Phone: 904-879-4544 Fax: 904-879-4411 |