| Moudar Alshazley, MD | |
|
4225 Woodbine Rd, Suite A, Pace, FL 32571-8790 | |
| (850) 994-6575 | |
| (850) 994-5643 |
| Full Name | Moudar Alshazley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 4225 Woodbine Rd, Pace, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205887213 | NPI | - | NPPES |
| 263433300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME78728 (Florida) | Primary |
| 207Q00000X | Family Medicine | ME78728 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emerald Coast Hospice | Panama city, FL | Hospice |
| Santa Rosa Medical Center | Milton, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santa Rosa Hb Medical Services Llc | 4284089335 | 26 |
| Entity Name | Floridian Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710210695 PECOS PAC ID: 3375682891 Enrollment ID: O20091123000274 |
| Entity Name | App Of Florida Hm, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841772316 PECOS PAC ID: 9032457197 Enrollment ID: O20190214002509 |
| Entity Name | Santa Rosa Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982384988 PECOS PAC ID: 4284089335 Enrollment ID: O20231010004073 |
| Mailing Address | Practice Location Address |
|---|---|
| Moudar Alshazley, MD 4225 Woodbine Rd, Suite A, Pace, FL 32571-8790 Ph: (850) 994-6575 | Moudar Alshazley, MD 4225 Woodbine Rd, Suite A, Pace, FL 32571-8790 Ph: (850) 994-6575 |
Dr. Mark Edwards, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4713 Highway 90, Pace, FL 32571 Phone: 850-304-0694 Fax: 850-304-0707 | |
Janet I Lewis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4225 Woodbine Rd Ste C, Pace, FL 32571 Phone: 850-384-3151 Fax: 850-474-9060 | |
Zaher Kalaji, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4225 Woodbine Rd, Suite A, Pace, FL 32571 Phone: 850-994-6575 Fax: 850-994-5643 |