| Warren V Carrigan Iii, MD | |
|
632 Magnolia St, Neptune Beach, FL 32266-3734 | |
| (904) 860-3761 | |
| (904) 249-9764 |
| Full Name | Warren V Carrigan Iii |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 17 Years |
| Location | 632 Magnolia St, Neptune Beach, 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 |
|---|---|---|---|
| 1326282153 | NPI | - | NPPES |
| 008928800 | Medicaid | FL | |
| P01233477 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME107691 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
| Manatee Memorial Hospital | Bradenton, FL | Hospital |
| Lakewood Ranch Medical Center | Bradenton, FL | Hospital |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Nation Hospital And Clinics | 5698786226 | 364 |
| Manatee Specialty Physician Alliance Llc | 8921473927 | 27 |
| Good Samaritan Hospital Physician Services, Inc | 3971671330 | 143 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Warren V Carrigan Iii, MD Po Box 49237, Jacksonville Beach, FL 32240-9237 Ph: (904) 860-3761 | Warren V Carrigan Iii, MD 632 Magnolia St, Neptune Beach, FL 32266-3734 Ph: (904) 860-3761 |
Mrs. Shannon Rae Hurst, LPN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 Seagate Ave Apt 258, Neptune Beach, FL 32266 Phone: 904-898-0263 |