Dr Bruce Mitchell Yergin, MD | |
3627 University Blvd S Ste 300, Jacksonville, FL 32216 | |
(904) 396-0300 | |
(904) 396-3039 |
Full Name | Dr Bruce Mitchell Yergin |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 3627 University Blvd S Ste 300, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619962230 | NPI | - | NPPES |
5362087 | Other | FL | AETNA |
GR172A | Other | FL | MEDICARE - GROUP |
78027 | Other | FL | BLUE CROSS BLUE SHIELD |
0098365-00 | Other | FL | FL MEDICAID - GROUP |
0141594-00 | Medicaid | FL | |
PO1615058 | Other | FL | RR MEDICARE |
215889 | Other | FL | AVMED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | ME0021067 (Florida) | Primary |
Entity Name | Cisca Pulmonary Critical Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629326285 PECOS PAC ID: 1951552371 Enrollment ID: O20121113000224 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce Mitchell Yergin, MD 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 Ph: (904) 493-3390 | Dr Bruce Mitchell Yergin, MD 3627 University Blvd S Ste 300, Jacksonville, FL 32216 Ph: (904) 396-0300 |
Dr. Jami Ann Rothe Kinnucan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Pulmonary Disease 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 Pulmonary Disease 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. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |