| James A Klein, MD | |
|
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | |
| (386) 226-4590 | |
| (386) 226-4577 |
| Full Name | James A Klein |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 303 N Clyde Morris Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578591384 | NPI | - | NPPES |
| 036059942 | Medicaid | IL | |
| 09395S | Other | FL | MEDICARE PTAN |
| P00253925/CA4079 | Other | RR MEDICARE | |
| 800810 | Other | MEDICARE GROUP NO. | |
| 809840 | Other | MEDICARE GROUP NO. | |
| 09395 | Other | FL | BCBS FL |
| 020092600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-059942 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | ME54335 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | ME54335 (Florida) | Primary |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
| Entity Name | App Of Illinois Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
| Mailing Address | Practice Location Address |
|---|---|
| James A Klein, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 226-4590 | James A Klein, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 226-4590 |
Cheryl Marie Moses, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
Dr. Peter Springer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-2285 Fax: 386-425-1304 | |
Ayesha Tabassom, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118 Phone: 386-310-2160 Fax: 386-310-2106 | |
Omaid Tariq, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118 Phone: 386-310-2160 Fax: 386-310-2106 | |
Dr. Rewadee Soontharothai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Dr. Cindy May Hird, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Jared J Rich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118 Phone: 386-310-2160 Fax: 386-310-2106 |