Dr Brent Dalee Libby, MD | |
Attn: Medical Staff Services Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | |
(904) 542-7200 | |
Not Available |
Full Name | Dr Brent Dalee Libby |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | Attn: Medical Staff Services Bldg. H 2005 Knight Lane, 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 |
---|---|---|---|
1821078346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101232281 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ed Fraser Memorial Hospital | Macclenny, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baker Community Health Center Inc | 3779689807 | 9 |
Beaufort Jasper Hampton Comprehensive Health Services Inc | 5597675728 | 19 |
Baker Community Health Center Inc | 3779689807 | 9 |
Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
Entity Name | Baker Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396807319 PECOS PAC ID: 3779689807 Enrollment ID: O20190318000272 |
Mailing Address | Practice Location Address |
---|---|
Dr Brent Dalee Libby, MD 7 Pleasant Place Ct, Beaufort, SC 29907-1187 Ph: (843) 524-0743 | Dr Brent Dalee Libby, MD Attn: Medical Staff Services Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 Ph: (904) 542-7200 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 | |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 | |
Dr. Travis Howell Edelstein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson, Jacksonville, FL 32209 Phone: 954-775-4645 | |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 | |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 | |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |