Daniel Kyu Jeong, MD | |
10307 Manta Way, Tampa, FL 33615-4252 | |
(813) 745-7365 | |
(813) 449-8618 |
Full Name | Daniel Kyu Jeong |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 10307 Manta Way, Tampa, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871759654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME119935 (Florida) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 60455 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 936 |
Mori Bean And Brooks Inc | 8820077878 | 647 |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Entity Name | Mori Bean And Brooks Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
Mailing Address | Practice Location Address |
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Daniel Kyu Jeong, MD 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: () - | Daniel Kyu Jeong, MD 10307 Manta Way, Tampa, FL 33615-4252 Ph: (813) 745-7365 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Robert Paul Ruvolo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2137 West Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 941-349-3409 | |
Scott D Perrin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-251-5822 | |
Sen Lu, M.D., M.P.H. Radiology Medicare: Medicare Enrolled Practice Location: 17 Davis Blvd, Suite 308, Tampa, FL 33606 Phone: 813-259-8515 |