| Kyle A Rezac, DO | |
|
1210 Vintage Way, Fernandina Beach, FL 32034-0299 | |
| (904) 261-0922 | |
| (904) 390-7477 |
| Full Name | Kyle A Rezac |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 1210 Vintage Way, Fernandina Beach, 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 |
|---|---|---|---|
| 1124448071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS14025 (Florida) | Primary |
| 207Q00000X | Family Medicine | 078726 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, 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 |
|---|---|
| Kyle A Rezac, DO Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092 | Kyle A Rezac, DO 1210 Vintage Way, Fernandina Beach, FL 32034-0299 Ph: (904) 261-0922 |
Diana R Twiggs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034 Phone: 904-261-0922 Fax: 904-277-8872 | |
Dr. Edward Dominick Tribuzio, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1132 S 14th St, Fernandina Beach, FL 32034 Phone: 904-432-3061 Fax: 904-432-3062 | |
Kedra Fields Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22439 Flora Parke Xing, Fernandina Beach, FL 32034 Phone: 904-648-8081 Fax: 904-648-8082 | |
Dr. Francis Xavier Decandis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Sadler Rd, Fernandina Beach, FL 32034 Phone: 904-430-0176 Fax: 866-235-5905 | |
Dr. Steffano Mottl, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 Phone: 904-202-6683 Fax: 904-376-3062 | |
Dr. Nicole Marie Soos, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 S 8th St Ste 121, Fernandina Beach, FL 32034 Phone: 517-927-5460 |