| Jason T Nieves, MD | |
|
307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | |
| (850) 883-8600 | |
| Not Available |
| Full Name | Jason T Nieves |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 13 Years |
| Location | 307 Boatner Rd Ste 114, Eglin Afb, 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 |
|---|---|---|---|
| 1194088369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | A127611 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartanburg Medical Center | 3072425297 | 977 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason T Nieves, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8600 | Jason T Nieves, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8600 |
Porter Wolfgang Maerz, MD Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Dr. Buenaventura Quinto Aldana, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542 Phone: 850-883-8505 | |
Dr. Sandra G Early, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Ste 114 , 96th Mdg Sgos/scx, Eglin Afb, FL 32542 Phone: 850-883-8505 | |
Dr. Bruce Andrew Lynch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd, 96 Mdg/sgcxs, Eglin Afb, FL 32542 Phone: 850-883-8505 | |
Spencer Schulte, Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-9355 | |
Dr. Roselia Isabel Labbe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542 Phone: 850-883-8505 |