| Dr Meredith Johnston Brazell, DO | |
|
70 Turin Ter, St Augustine, FL 32092-0848 | |
| (904) 819-2200 | |
| (904) 819-2201 |
| Full Name | Dr Meredith Johnston Brazell |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 70 Turin Ter, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073952909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS15757 (Florida) | Primary |
| Entity Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Meredith Johnston Brazell, DO Po Box 100296, Gainesville, FL 32610-0296 Ph: (352) 627-9350 | Dr Meredith Johnston Brazell, DO 70 Turin Ter, St Augustine, FL 32092-0848 Ph: (904) 819-2200 |
Dr. Shirley N Leadem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084 Phone: 904-829-6591 Fax: 904-824-8856 | |
Mr. Gary Wayne Cater, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4478 | |
Dr. Miguel A Mas Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Plantation Island Dr S, Suite 404, St Augustine, FL 32080 Phone: 904-461-1560 Fax: 904-461-4304 | |
Kaylan Brady, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Turin Terrace, Suite 220, St Augustine, FL 32092 Phone: 904-819-3000 Fax: 904-819-4426 | |
Dr. Patricia Elvir, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 W Town Pl, Suite#1, St Augustine, FL 32092 Phone: 904-940-1577 Fax: 904-940-1916 | |
Monali Manikal, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Whetstone Pl, Suites 205, St Augustine, FL 32086 Phone: 904-819-9925 Fax: 904-819-9926 |