| Mr Jason L Lockridge, MD | |
|
1761 Palm Bay Rd Ne, Palm Bay, FL 32905-2902 | |
| (321) 220-6400 | |
| (321) 220-6401 |
| Full Name | Mr Jason L Lockridge |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 30 Years |
| Location | 1761 Palm Bay Rd Ne, Palm Bay, 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 |
|---|---|---|---|
| 1922092576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME140072 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aqua Dermatology Of Florida, Pa | 1153390414 | 172 |
| Entity Name | Waters Edge Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134148992 PECOS PAC ID: 6901893155 Enrollment ID: O20040428001535 |
| Entity Name | Aqua Dermatology Of Florida, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538270335 PECOS PAC ID: 1153390414 Enrollment ID: O20041002000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason L Lockridge, MD 900 Village Square Xing Ste 290, Palm Beach Gardens, FL 33410-4552 Ph: () - | Mr Jason L Lockridge, MD 1761 Palm Bay Rd Ne, Palm Bay, FL 32905-2902 Ph: (321) 220-6400 |
Shery Mathew Varghese, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1761 Palm Bay Rd Ne, Palm Bay, FL 32905 Phone: 321-220-6400 | |
Dr. Ruben Antenor Moreno, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907 Phone: 321-768-1600 | |
Dr. Robert Michael Taylor, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5070 Minton Rd Nw, Ste 5, Palm Bay, FL 32907 Phone: 941-484-1510 Fax: 941-484-1071 |