| Harry D Marty Vigo, MD | |
|
2001 Kingsley Ave, Orange Park, FL 32073-5148 | |
| (904) 639-8500 | |
| Not Available |
| Full Name | Harry D Marty Vigo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 2001 Kingsley Ave, Orange Park, 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 |
|---|---|---|---|
| 1609201334 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orange Park Medical Center | Orange park, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Capital Regional Medical Center | Tallahassee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 801 |
| Inpatient Consultants Of Florida, Inc | 4789614785 | 166 |
| Hospital Physician Services Of Florida Pa | 7012201965 | 220 |
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 801 |
| North Mississippi Medical Center, Inc. | 9931010600 | 365 |
| Apogee Medical Group, Florida Inc | 4082878509 | 86 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Harry D Marty Vigo, MD 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-8500 | Harry D Marty Vigo, MD 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-8500 |
Mark Anthony Stawara, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 | |
Eugene H Mccoskey, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave Ste 404, Orange Park, FL 32073 Phone: 904-441-1111 Fax: 904-441-1111 | |
Dr. Nadeem Maalouli, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-0600 Fax: 904-213-0303 | |
Louis Giovanni Ramirez Lopez, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 | |
Omer Ismaeel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave Ste 1, Orange Park, FL 32073 Phone: 904-368-6809 | |
Shradha Pokharel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 | |
Charles Edward Phillips, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 2035 Professional Ctr Dr, Ste C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 |