| Dustin Caudill, PA | |
|
1708 Blanding Blvd, Middleburg, FL 32068-3836 | |
| (574) 551-5160 | |
| Not Available |
| Full Name | Dustin Caudill |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1708 Blanding Blvd, Middleburg, 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 |
|---|---|---|---|
| 1982103396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 55108 (California) | Secondary |
| 363A00000X | Physician Assistant | PA9113302 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Cure Llc | 3274877329 | 11 |
| Solantic Of Jacksonville Llc | 1052409307 | 56 |
| Entity Name | Solantic/south Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic of Jacksonville LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | West Boynton Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003172628 PECOS PAC ID: 0941456537 Enrollment ID: O20120815000049 |
| Entity Name | Carespot of Orlando Hsi Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Entity Name | Urgent Care Cure LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881182335 PECOS PAC ID: 3274877329 Enrollment ID: O20181130001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Caudill, PA 705 Cypress Crossing Trl, Saint Augustine, FL 32095-6808 Ph: (574) 551-5160 | Dustin Caudill, PA 1708 Blanding Blvd, Middleburg, FL 32068-3836 Ph: (574) 551-5160 |
Mrs. Chandler Larsen Yeazitzis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1658 St Vincents Way Ste 300, Middleburg, FL 32068 Phone: 904-276-5100 Fax: 904-276-5393 |
Mr. Peter Allen Rust, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3360 County Road 220, Middleburg, FL 32068 Phone: 904-291-2221 Fax: 904-291-2261 |
Maxwell Samuel Sapolsky, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1658 St Vincents Way Ste 300, Middleburg, FL 32068 Phone: 904-276-5100 Fax: 904-276-5393 |
William David Speer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 College Dr, Suite 104-106, Middleburg, FL 32068 Phone: 904-298-1994 Fax: 904-298-1973 |
Morgan Paige Gavlik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1670 St Vincents Way, Middleburg, FL 32068 Phone: 904-602-1407 |
Heather Lynn Bartoe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way, Suite 100, Middleburg, FL 32068 Phone: 904-634-0640 Fax: 904-634-0203 |
Mr. Scot Joseph Poppell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1670 St Vincents Way, Middleburg, FL 32068 Phone: 904-602-1000 |