| Lynn Michael Waters Jr, DO | |
|
3839 County Road 218, Middleburg, FL 32068-5708 | |
| (904) 282-5474 | |
| (904) 282-5824 |
| Full Name | Lynn Michael Waters Jr |
|---|---|
| Gender | Male |
| Speciality | Osteopathic Manipulative Medicine |
| Experience | 18 Years |
| Location | 3839 County Road 218, Middleburg, 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 |
|---|---|---|---|
| 1487840633 | NPI | - | NPPES |
| 1488L | Other | FL | BCBS |
| 002290100 | Medicaid | FL | |
| 003126257A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10513 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Philadelphia College Of Osteopathic Medicine | 0648179234 | 30 |
| Entity Name | Philadelphia College Of Osteopathic Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881635704 PECOS PAC ID: 0648179234 Enrollment ID: O20121016000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Michael Waters Jr, DO 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Lynn Michael Waters Jr, DO 3839 County Road 218, Middleburg, FL 32068-5708 Ph: (904) 282-5474 |
Quincy Anne Scarborough, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1545 Brannan Field Rd, Suite 1, Middleburg, FL 32068 Phone: 904-450-8575 Fax: 904-291-3822 | |
Dr. Kent Thomas Braeutigam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3839 County Road 218, Middleburg, FL 32068 Phone: 904-282-5474 Fax: 904-282-5824 | |
Chelsey Lossen, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1960 Timucua Trl, Middleburg, FL 32068 Phone: 904-240-7354 | |
Sandhya Behera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-213-2700 | |
Dr. Subhadra Chereddy, MBBS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1586 Branan Field Rd, Middleburg, FL 32068 Phone: 904-282-8000 Fax: 904-282-8044 | |
Uriel Nazario-vidal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1786 Blanding Blvd Ste 3, Middleburg, FL 32068 Phone: 904-282-8000 Fax: 904-282-8044 |