| Dr Sergio G Moreira Jr, MD | |
|
320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 | |
| (850) 863-3463 | |
| (850) 862-0188 |
| Full Name | Dr Sergio G Moreira Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 30 Years |
| Location | 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, 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 |
|---|---|---|---|
| 1790735918 | NPI | - | NPPES |
| T7744 | Other | FL | MEDICARE HF |
| 117574300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | M8184 (Texas) | Secondary |
| 208800000X | Urology | ME89888 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Salem Hospital | Salem, OR | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Twin Cities Hospital | Niceville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group Llc | 7416100672 | 596 |
| Salem Health | 8628986668 | 435 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Northwest Florida Multispecialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790912269 PECOS PAC ID: 5597801779 Enrollment ID: O20090930000747 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sergio G Moreira Jr, MD 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 Ph: (850) 863-3463 | Dr Sergio G Moreira Jr, MD 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 Ph: (850) 863-3463 |
Dr. William F Stiles Iii, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 1032 Mar Walt Drive, Suite 250, Fort Walton Beach, FL 32547 Phone: 850-863-0883 Fax: 850-862-0188 | |
Beibei Oelrich, M.D. PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547 Phone: 850-863-0883 | |
Robert Lawrence Long, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 909 Mar Walt Dr, Suite 1011, Fort Walton Beach, FL 32547 Phone: 850-863-3377 | |
Thomas Zachos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1032 Mar Walt Dr, Suite 240, Fort Walton Beach, FL 32547 Phone: 850-863-0883 Fax: 850-862-0188 | |
John R Burns, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 914b Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-226-6572 Fax: 850-862-8564 | |
Dr. Gaines Wardlaw Hammond Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547 Phone: 850-863-0883 Fax: 850-862-0188 |