Antonio Desean Lozada, | |
1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 | |
(904) 276-2549 | |
(904) 276-9235 |
Full Name | Antonio Desean Lozada |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 1887 Kingsley Ave Ste 1900, Orange Park, 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 |
---|---|---|---|
1053677047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | 036145468 (Illinois) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | ME169115 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Decatur Memorial Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Decatur Memorial Hospital | 6204731144 | 135 |
Entity Name | Decatur Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Antonio Desean Lozada, 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 Ph: (904) 276-2549 | Antonio Desean Lozada, 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 Ph: (904) 276-2549 |
Joshua Mark Yeykal, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 | |
Noaman Syed Ali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1825 Kingsley Ave Ste 150, Orange Park, FL 32073 Phone: 904-264-5426 Fax: 904-264-5427 | |
Dr. Debbie A. Berlin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073 Phone: 904-278-5088 Fax: 904-264-4910 | |
Michael Callander, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073 Phone: 904-276-2549 Fax: 904-276-9235 | |
Dr. Michael S. Gilligan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073 Phone: 904-278-5088 Fax: 904-264-4910 | |
Eric Ferguson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073 Phone: 904-276-2549 |