| Patrick J Justiz, MD | |
|
1 Memorial Medical Pkwy, Ste 201, Palm Coast, FL 32164-5979 | |
| (386) 445-4750 | |
| (386) 445-4751 |
| Full Name | Patrick J Justiz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 1 Memorial Medical Pkwy, Palm Coast, 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 |
|---|---|---|---|
| 1629165329 | NPI | - | NPPES |
| A63347 | Other | CA | BLUE CROSS |
| 115 | Other | CA | CMSP |
| 00G601660 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME80578 (Florida) | Primary |
| 207Q00000X | Family Medicine | A63347 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmed Medical Management Of Florida Inc | 3971678558 | 150 |
| Entity Name | Wellmed Medical Management Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033395397 PECOS PAC ID: 3971678558 Enrollment ID: O20080815000432 |
| Entity Name | Guidewell Sanitas I, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Justiz, MD 1 Memorial Medical Pkwy, Ste 201, Palm Coast, FL 32164-5979 Ph: (386) 445-4750 | Patrick J Justiz, MD 1 Memorial Medical Pkwy, Ste 201, Palm Coast, FL 32164-5979 Ph: (386) 445-4750 |
Erin Hough, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Cypress Edge Dr Ste 202, Palm Coast, FL 32164 Phone: 386-589-4462 | |
Dr. Donnette Felice Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 21 Hospital Dr, Suite 290, Palm Coast, FL 32164 Phone: 386-437-7977 Fax: 386-437-7732 | |
Kelley Wise, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137 Phone: 386-445-6191 | |
Dr. Michael John Parsons, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 309 Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-445-7073 | |
Dr. John G. Symeonides, MD, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Cypress Point Pkwy, Unit 105, Palm Coast, FL 32164 Phone: 386-283-5654 | |
Dr. Jeffrey Ward, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy, Suite 3813, Palm Coast, FL 32164 Phone: 386-586-1710 Fax: 386-586-1711 | |
Gregory F Macisaac, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Cypress Edge Dr, Suite 210, Palm Coast, FL 32164 Phone: 386-445-4750 Fax: 386-445-4751 |