Dr Alexei Mikhailovich Prytkov, MD, PHD | |
10870 Us One N Unit 104, Ponte Vedra, FL 32081-7804 | |
(904) 438-2720 | |
(904) 212-1711 |
Full Name | Dr Alexei Mikhailovich Prytkov |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 10870 Us One N Unit 104, Ponte Vedra, 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 |
---|---|---|---|
1629022157 | NPI | - | NPPES |
017980600 | Medicaid | FL | |
UJG97 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME123293 (Florida) | Secondary |
207Q00000X | Family Medicine | ME123293 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Putnam Community Medical Center | Palatka, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urgent Care Cure Llc | 3274877329 | 2 |
Paragon Emergency Services Llc | 8628153087 | 214 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Entity Name | Urgent Care Cure Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881182335 PECOS PAC ID: 3274877329 Enrollment ID: O20181130001837 |
Mailing Address | Practice Location Address |
---|---|
Dr Alexei Mikhailovich Prytkov, MD, PHD 10870 Us One N Unit 104, Ponte Vedra, FL 32081-7804 Ph: (904) 438-2720 | Dr Alexei Mikhailovich Prytkov, MD, PHD 10870 Us One N Unit 104, Ponte Vedra, FL 32081-7804 Ph: (904) 438-2720 |
Nasrin Datar Raina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081 Phone: 904-543-3677 | |
Richard W. Townsend, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 351 Town Plaza Ave Ste 105a, Ponte Vedra, FL 32081 Phone: 904-819-3233 Fax: 904-456-0819 | |
Dr. Lara Diane Church, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Hilden Rd Ste 201, Credentialing Department, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-829-2850 | |
Elizabeth Anne Nelson Andersen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460 | |
Hiro M Rahbar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-824-5333 | |
Donald W Tice, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460 | |
Sarah Crane Adams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-390-7503 |