Dr Donevan Westerveld, MD | |
150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259-7529 | |
(904) 398-7205 | |
(904) 396-4047 |
Full Name | Dr Donevan Westerveld |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 150 Longleaf Pine Pkwy Ste 200, St Johns, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588027239 | NPI | - | NPPES |
103567100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | ME139367 (Florida) | Primary |
Entity Name | Borland Groover Clinic, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881644912 PECOS PAC ID: 6507761301 Enrollment ID: O20031204000789 |
Mailing Address | Practice Location Address |
---|---|
Dr Donevan Westerveld, MD 4800 Belfort Rd, Jacksonville, FL 32256-6004 Ph: (904) 398-7205 | Dr Donevan Westerveld, MD 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259-7529 Ph: (904) 398-7205 |
Emily A Poland, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-398-7205 Fax: 904-652-0811 | |
Kevin Munish Comar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-652-0800 Fax: 904-652-0811 | |
Shailee Shah, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 300 Saint Elizabeth Way Ste 110, St Johns, FL 32259 Phone: 904-691-9100 | |
Dr. Ronald Glen Racho, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-652-0800 Fax: 904-652-0811 | |
Buffie Marie Reid, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-398-7205 Fax: 904-652-0811 | |
Dr. Bradford Warner Joseph, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259 Phone: 904-652-0800 Fax: 904-652-0811 |