| Paul A Moir, MD | |
|
1 Shircliff Way, Jacksonville, FL 32204-4748 | |
| (904) 308-7300 | |
| (904) 346-0113 |
| Full Name | Paul A Moir |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1 Shircliff Way, 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 |
|---|---|---|---|
| 1972600054 | NPI | - | NPPES |
| 130050632A | Medicaid | GA | |
| 260095100 | Medicaid | FL | |
| 35585 | Other | FL | BCBS |
| 930097039 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME0076950 (Florida) | Secondary |
| 207Q00000X | Family Medicine | ME0076950 (Florida) | Primary |
| Entity Name | Emergency Medical Specialists Of Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
| Entity Name | St Vincent's Full Service Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20130220000322 |
| Entity Name | Emsj Of Northeast Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720753536 PECOS PAC ID: 0446657209 Enrollment ID: O20210921001385 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Moir, MD Po Box 863026, Orlando, FL 32886-3026 Ph: (800) 288-8325 | Paul A Moir, MD 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300 |
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: 5011 Gate Pkwy Bldg 100, Jacksonville, FL 32256 Phone: 904-523-3351 Fax: 904-523-3340 | |
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871 | |
Timothy Davlantes, MD Family Medicine Medicare: Not Enrolled in Medicare 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. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |