| Maan Elkhatib, MD | |
|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
| (850) 862-1111 | |
| Not Available |
| Full Name | Maan Elkhatib |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 1000 Mar Walt Dr, Fort Walton 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 |
|---|---|---|---|
| 1316656192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME159905 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Osceola Regional Medical Center | Kissimmee, FL | Hospital |
| Central Florida Regional Hospital | Sanford, FL | Hospital |
| Oviedo Medical Center | Oviedo, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Physician Solutions Of North Florida Llc | 2466710306 | 80 |
| Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 113 |
| Entity Name | Sheridan Radiology Services Of Central Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487708814 PECOS PAC ID: 4688762149 Enrollment ID: O20071116000118 |
| Entity Name | Sheridan Radiology Services Of West Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235674904 PECOS PAC ID: 4082998075 Enrollment ID: O20170413000678 |
| Entity Name | Radiology Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20180216001493 |
| Mailing Address | Practice Location Address |
|---|---|
| Maan Elkhatib, MD 28 Barcelona, Irvine, CA 92614-5318 Ph: (424) 200-7371 | Maan Elkhatib, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 862-1111 |
Bethany A Cazenave, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 614-210-1885 Fax: 614-210-1886 | |
Warren R. Amos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1026 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-5294 Fax: 850-864-1648 | |
Dr. Vincent Thomas Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 | |
Tara Marie Otto, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 220 Fliva Ave Nw, Fort Walton Beach, FL 32548 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Walter William Perrott, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 866-775-5053 Fax: 614-764-9147 | |
Dr. John Patrick Mawn, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 814-335-4131 |