Dr Elisa N Simon, MD | |
1747 Baptist Clay Dr, Suite 350, Fleming Island, FL 32003-8502 | |
(904) 376-3800 | |
(904) 396-8977 |
Full Name | Dr Elisa N Simon |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1747 Baptist Clay Dr, Fleming Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417294869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME126718 (Florida) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Dr Elisa N Simon, MD Po Box 44230, Jacksonville, FL 32231-4230 Ph: (904) 376-3800 | Dr Elisa N Simon, MD 1747 Baptist Clay Dr, Suite 350, Fleming Island, FL 32003-8502 Ph: (904) 376-3800 |
Dennis D Dewey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003 Phone: 904-516-1880 Fax: 904-516-1885 | |
Robert David Maresh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 Blakeley Ct, Fleming Island, FL 32003 Phone: 504-920-8692 Fax: 352-300-3606 |