| Mark E Fahey, MD | |
|
3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-4470 | |
| (850) 877-8174 | |
| (850) 877-5636 |
| Full Name | Mark E Fahey |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3334 Capital Medical Blvd, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194728956 | NPI | - | NPPES |
| 000500728C | Medicaid | GA | |
| 370237500 | Medicaid | FL | |
| 000500728D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME53578 (Florida) | Primary |
| 207X00000X | Orthopaedic Surgery | 039786 (Georgia) | Secondary |
| Entity Name | Tallahassee Orthopedic Clinic Iii Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194778050 PECOS PAC ID: 4284532755 Enrollment ID: O20031222000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Fahey, MD 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-4470 Ph: (850) 877-8174 | Mark E Fahey, MD 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-4470 Ph: (850) 877-8174 |
David A Bellamy, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308 Phone: 850-877-8174 Fax: 850-877-5636 | |
Thomas C Haney, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308 Phone: 850-877-8174 Fax: 850-877-5636 | |
Charles Jackson Holland, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2390 Phillips Road, Tallahassee, FL 32308 Phone: 850-487-2604 Fax: 850-922-2123 | |
David Antonio Alvarez, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308 Phone: 850-877-8174 Fax: 850-877-5636 | |
Dr. Ryan Christopher Price, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 Centerville Rd Ste 710, Tallahassee, FL 32308 Phone: 850-877-8174 Fax: 850-877-5636 | |
Floyd R Jaggears, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308 Phone: 850-877-8174 Fax: 850-877-5636 |