| Pantip Intachai, | |
|
2001 Kingsley Ave, Orange Park, FL 32073-5148 | |
| (904) 639-8500 | |
| Not Available |
| Full Name | Pantip Intachai |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 2001 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497215123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME153109 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orange Park Medical Center | Orange park, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inpatient Consultants Of Florida, Inc | 4789614785 | 150 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Pantip Intachai, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-8500 | Pantip Intachai, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-8500 |
Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553 | |
Tonya Nichelle Hollinger, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2285 Kingsley Ave Ste E, Orange Park, FL 32073 Phone: 904-309-9660 Fax: 844-388-6186 | |
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 Park Ave Ste A, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492 | |
Dr. Justin Myles Stark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266 | |
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225 |