| Matthew Alexander Heckroth, MD | |
|
475 W Town Pl Ste 109, St Augustine, FL 32092-3648 | |
| (904) 398-7205 | |
| Not Available |
| Full Name | Matthew Alexander Heckroth |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 475 W Town Pl Ste 109, St Augustine, 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 |
|---|---|---|---|
| 1780145219 | NPI | - | NPPES |
| 122143800 | Medicaid | FL | |
| 7100691880 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME161079 (Florida) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | ME161079 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Regional Medical Center | Lakeland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 1116 |
| Lakeland Regional Health Systems Inc | 8325952914 | 500 |
| Entity Name | Lakeland Regional Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
| Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Alexander Heckroth, MD 4800 Belfort Rd, Jacksonville, FL 32256-6004 Ph: (904) 398-7205 | Matthew Alexander Heckroth, MD 475 W Town Pl Ste 109, St Augustine, FL 32092-3648 Ph: (904) 398-7205 |
Dr. Jesus Manuel Salas Noain, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 40 Groover Loop Ste 200, St Augustine, FL 32086 Phone: 904-398-7205 Fax: 904-823-9613 | |
Maria Teresa David, D.O. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 100 Whetstone Pl Ste 105, St Augustine, FL 32086 Phone: 904-824-3777 | |
Dr. Rosemarie L. Lim, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 228 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6266 Fax: 904-826-3244 | |
David A Weinshel, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4255 Us 1 S Ste 10, St Augustine, FL 32086 Phone: 904-240-0565 Fax: 904-240-0471 | |
Dr. David Brett Goldberg, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Dr. Gaurav Trikha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 121 Whitehall Dr, St Augustine, FL 32086 Phone: 904-825-4500 Fax: 904-825-3672 | |
Dr. Adey A A Hasan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 204 Southpark Cir E, St Augustine, FL 32086 Phone: 904-829-8300 Fax: 904-829-8310 |