Patrick J Dwyer, MD | |
1536 N Jefferson St, Jacksonville, FL 32209-6525 | |
(904) 475-6312 | |
Not Available |
Full Name | Patrick J Dwyer |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1536 N Jefferson St, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528145893 | NPI | - | NPPES |
M9186 | Other | ID | STATE LICENSE NUMBER |
807016400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M9186 (Idaho) | Primary |
Entity Name | Waterfall Clinic Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
Mailing Address | Practice Location Address |
---|---|
Patrick J Dwyer, MD 1536 N Jefferson St, Jacksonville, FL 32209-6525 Ph: (904) 475-6312 | Patrick J Dwyer, MD 1536 N Jefferson St, Jacksonville, FL 32209-6525 Ph: (904) 475-6312 |
Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578 | |
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468 | |
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791 | |
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952 | |
Dr. Ana A Sanchez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4266 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-268-5200 | |
Dr. Monina Ilano Geda, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1909 Beach Blvd Ste 102, Jacksonville, FL 32250 Phone: 904-246-2752 Fax: 904-246-2758 |