Dr Douglas Michael Pennington, DO | |
1906 Southside Blvd, Jacksonville, FL 32216-1930 | |
(904) 724-3083 | |
(904) 727-9103 |
Full Name | Dr Douglas Michael Pennington |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 42 Years |
Location | 1906 Southside Blvd, 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 |
---|---|---|---|
1891714580 | NPI | - | NPPES |
068835500 | Medicaid | FL | |
080148958 | Other | FL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS4561 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Group Services Pa | 1254238579 | 78 |
Entity Name | Physicians Group Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
Entity Name | Coastal Health Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023734340 PECOS PAC ID: 8628447380 Enrollment ID: O20221220001103 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Michael Pennington, DO 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Dr Douglas Michael Pennington, DO 1906 Southside Blvd, Jacksonville, FL 32216-1930 Ph: (904) 724-3083 |
Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578 | |
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468 | |
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871 | |
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791 | |
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952 | |
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |