Cletus Tanwi Moma, MD | |
4500 San Pablo Rd S, Provider Enrollment, Jacksonville, FL 32224-1865 | |
(904) 953-2000 | |
Not Available |
Full Name | Cletus Tanwi Moma |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 13 Years |
Location | 4500 San Pablo Rd S, Jacksonville, 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 |
---|---|---|---|
1982998373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | TRN16006 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
Putnam Community Medical Center | Palatka, FL | Hospital |
Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
Twin Cities Hospital | Niceville, FL | Hospital |
North Okaloosa Medical Center | Crestview, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services Of Florida Pa | 7012201965 | 125 |
Hospital Medicine Services Of Fl, Llc | 9234596743 | 435 |
Entity Name | Inpatient Consultants Of Florida, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
Entity Name | Cogent Healthcare Of Jacksonville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
Entity Name | Hni Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20111007000131 |
Entity Name | Hospital Physician Services Of Florida Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
Entity Name | Sound Physicians Of Florida Iv, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
Entity Name | Hni Medical Services Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
Entity Name | Hospital Medicine Services Of Fl, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
Mailing Address | Practice Location Address |
---|---|
Cletus Tanwi Moma, MD 4500 San Pablo Rd S, Provider Enrollment, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Cletus Tanwi Moma, MD 4500 San Pablo Rd S, Provider Enrollment, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |