| Kamaldeep Sethi, MD | |
|
550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259-4135 | |
| (904) 770-2095 | |
| (904) 390-7425 |
| Full Name | Kamaldeep Sethi |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 550 Durbin Pavilion Dr Ste G101, St Johns, 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 |
|---|---|---|---|
| 1679131866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT217375 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | ME169822 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 1858 |
| Baptist Primary Care Inc | 0648177733 | 420 |
| H2 Rehabilitation Extension Services Llc | 6406131622 | 100 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Gslpg, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Kamaldeep Sethi, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092 | Kamaldeep Sethi, MD 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259-4135 Ph: (904) 770-2095 |
Nicole Alyson Mcclone, DPT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3055 County Road 210 W Ste 110, St Johns, FL 32259 Phone: 904-825-0540 Fax: 904-825-2490 | |
Thu Phuoc Anh Truong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 | |
Dr. Juan Carlos Fuentes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Race Track Rd, St Johns, FL 32259 Phone: 904-819-1005 Fax: 904-819-1002 | |
Kyle B Herring, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259 Phone: 904-770-2095 Fax: 904-390-7425 | |
Dr. Tony L. Willson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, St Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 |