| Advanced Gastroenterology Associates | |
|
6152 W Corporate Oaks Dr Crystal River FL 34429-8722 | |
| (352) 564-3900 | |
| (352) 564-3903 |
| Full Name | Advanced Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 6152 W Corporate Oaks Dr, Crystal River, Florida |
| Authorized Official Name and Position | Barrett Jeffrey Wallis (OWNER) |
| Authorized Official Contact | 3524008000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology Associates 6152 W Corporate Oaks Dr Crystal River FL 34429-8722 Ph: (352) 564-3900 | Advanced Gastroenterology Associates 6152 W Corporate Oaks Dr Crystal River FL 34429-8722 Ph: (352) 564-3900 |
| NPI Number | 1003199076 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 08/07/2012 |
| Medicare PECOS PAC ID | 0446423784 |
|---|---|
| Medicare Enrollment ID | O20111101000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003199076 | NPI | - | NPPES |
| 001690000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Joshua J Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467558585 PECOS PAC ID: 8628060415 Enrollment ID: I20040401000340 |
| Provider Name | Barrett J Wallis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740220938 PECOS PAC ID: 7810942638 Enrollment ID: I20100414000245 |
| Provider Name | Joshua T Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891414207 PECOS PAC ID: 6204208176 Enrollment ID: I20230202003027 |
Rolf Lyon Urgent Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Se Highway 19, Crystal River, FL 34429 Phone: 352-563-0184 Fax: 352-563-0195 |
Nature Coast Provider Outreach Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7562 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-436-4328 Fax: 352-260-0960 |
Tgh Crystal River Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Us Highway 19 Ste 1669, Crystal River, FL 34429 Phone: 352-563-2407 |
Hospitalists of Citrus County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-601-2375 Fax: 813-200-3667 |
Triple Aim Medical Solutions, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7562 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-436-4328 |
Citrus Crystal River Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 N Citrus Ave, Crystal River, FL 34428 Phone: 352-565-7342 Fax: 352-565-5880 |