| Robert B Taliaferro, MD | |
|
400 Health Park Blvd, Attn: Radiology Department, Saint Augustine, FL 32086-5784 | |
| (904) 819-4398 | |
| (904) 819-4976 |
| Full Name | Robert B Taliaferro |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 400 Health Park Blvd, Saint Augustine, 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 |
|---|---|---|---|
| 1437126216 | NPI | - | NPPES |
| 055730700 | Medicaid | FL | |
| 300029642 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME55801 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Hca Florida Memorial Hospital | Jacksonville, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Hca Florida Orange Park Hospital | Orange park, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 381 |
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Northside Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B Taliaferro, MD 400 Health Park Blvd, Attn: Radiology Department, Saint Augustine, FL 32086-5784 Ph: (904) 819-4398 | Robert B Taliaferro, MD 400 Health Park Blvd, Attn: Radiology Department, Saint Augustine, FL 32086-5784 Ph: (904) 819-4398 |
Mandana Davani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, Attn: Radiology Department, Saint Augustine, FL 32086 Phone: 904-819-4398 Fax: 904-819-4976 |
Janice L Vucinich, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-819-4398 Fax: 904-819-4976 |
Miriam Niveen Mikhail, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, Attn: Radiology Department, Saint Augustine, FL 32086 Phone: 904-819-4398 Fax: 904-819-4976 |
Milton T. Mendenhall, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, Attn: Radiology Department, Saint Augustine, FL 32086 Phone: 904-819-4398 Fax: 904-819-4976 |
Mrs. Ann Sweeney, RA Radiology Medicare: Not Enrolled in Medicare Practice Location: 2202 S Cranbrook Ave, Saint Augustine, FL 32092 Phone: 440-787-8138 |
James Leroy Builteman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 224 Bluebird Ln, Saint Augustine, FL 32080 Phone: 904-315-8642 |
Kok L. Chong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Us Highway 1 S Ste C, Saint Augustine, FL 32086 Phone: 904-320-0680 Fax: 904-320-0800 |