Craig R Cazenave, MD | |
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
(614) 210-1885 | |
(614) 210-1886 |
Full Name | Craig R Cazenave |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 42 Years |
Location | 1000 Mar Walt Dr, Fort Walton 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 |
---|---|---|---|
1861463937 | NPI | - | NPPES |
104206 | Medicaid | AL | |
104468 | Medicaid | AL | |
107070 | Medicaid | AL | |
109478 | Medicaid | AL | |
000101258 | Medicaid | AL | |
108288 | Medicaid | AL | |
104470 | Medicaid | AL | |
104236 | Medicaid | AL | |
104466 | Medicaid | AL | |
104205 | Medicaid | AL | |
048160200 | Medicaid | FL | |
05668 | Other | FL | BCBS |
104250 | Medicaid | AL | |
107073 | Medicaid | AL | |
104239 | Medicaid | AL | |
108893 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME42584 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
North Okaloosa Medical Center | Crestview, FL | Hospital |
Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Physician Solutions Of North Florida Llc | 2466710306 | 75 |
Entity Name | Sheridan Radiology Services Of Central Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134567506 PECOS PAC ID: 4688762149 Enrollment ID: O20071116000118 |
Entity Name | Radiology Physician Solutions Of North Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20180216001493 |
Mailing Address | Practice Location Address |
---|---|
Craig R Cazenave, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (614) 210-1885 | Craig R Cazenave, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (614) 210-1885 |
Bethany A Cazenave, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 614-210-1885 Fax: 614-210-1886 | |
Warren R. Amos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1026 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-5294 Fax: 850-864-1648 | |
Dr. Vincent Thomas Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 | |
Maan Elkhatib, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Tara Marie Otto, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 220 Fliva Ave Nw, Fort Walton Beach, FL 32548 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Walter William Perrott, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 866-775-5053 Fax: 614-764-9147 | |
Dr. Norman Bull Clinkscales, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 |