| Shadi Ayyoub, | |
|
400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 | |
| (904) 819-4082 | |
| (904) 819-5156 |
| Full Name | Shadi Ayyoub |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 400 Health Park Blvd Ste 300, St 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 |
|---|---|---|---|
| 1477674232 | NPI | - | NPPES |
| 277141 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 44249 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 37193 (Arizona) | Secondary |
| 208M00000X | Hospitalist | ME119332 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Erlanger Medical Center | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Erlanger Health | 1153780226 | 439 |
| Entity Name | University Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Cogent Healthcare Of Tennessee, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952654246 PECOS PAC ID: 8628221165 Enrollment ID: O20130110000564 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Entity Name | Erlanger Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Shadi Ayyoub, Po Box 3123, St Augustine, FL 32085-3123 Ph: (904) 819-4082 | Shadi Ayyoub, 400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 Ph: (904) 819-4082 |
Dr. Maried Esther Celkis, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 110 Hampton Point Dr, St Augustine, FL 32092 Phone: 904-484-7772 Fax: 904-390-7437 | |
Dr. Jerome Joel Tuitt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd Ste 300, St Augustine, FL 32086 Phone: 904-819-4085 Fax: 904-819-5056 | |
Kumait Jaroje, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4085 Fax: 904-819-5056 | |
Justin Sager, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4082 Fax: 904-819-5056 | |
Casey Miller, ARNP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd Ste 221, St Augustine, FL 32086 Phone: 904-819-4497 |