| Mark James Elder, DO | |
|
3887 Scotts Plaza Dr, Jay, FL 32565-4001 | |
| (850) 981-0320 | |
| (850) 981-0911 |
| Full Name | Mark James Elder |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 3887 Scotts Plaza Dr, Jay, 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 |
|---|---|---|---|
| 1477559409 | NPI | - | NPPES |
| 263360638 | Other | FL | TAX ID |
| 590-48269 | Other | AL | BCBS |
| 05247 | Other | FL | BLUE CROSS FLORIDA |
| HS620A | Other | FL | MEDICARE GROUP PTAN |
| 262643800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8505 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Baptist Hospital | Pensacola, FL | Hospital |
| Santa Rosa Medical Center | Milton, FL | Hospital |
| Century Center For Rehabilitation And Healing | Century, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Panhandle Rural Health Incorporated | 1557358801 | 5 |
| Entity Name | Jay Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518071562 PECOS PAC ID: 3577466325 Enrollment ID: O20040129000235 |
| Entity Name | Panhandle Rural Health Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255398228 PECOS PAC ID: 1557358801 Enrollment ID: O20121022000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark James Elder, DO 3887 Scotts Plaza Dr, Jay, FL 32565-4001 Ph: (850) 981-0320 | Mark James Elder, DO 3887 Scotts Plaza Dr, Jay, FL 32565-4001 Ph: (850) 981-0320 |
Dr. Edward Brian Jorgensen, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14114 Alabama St, Jay Hospital, Jay, FL 32565 Phone: 850-675-8035 | |
John-stewart Michael Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 | |
Cleatious David Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 |