Dr Fred Joe Powell, MD is a
Surgery - Plastic And Reconstructive Surgery physician based in St. Augustine, Florida. Dr Fred Joe Powell is licensed to practice in Florida (license number ME 80996) and his current practice location is 111 Nature Walk Parkway, Suite 108, St. Augustine, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 230-7180.
NPI number for Dr Fred Joe Powell is 1609078542 and his current mailing address is 111 Nature Walk Parkway, Suite 108, St. Augustine, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609078542.
Physician's Profile
Full Name | Dr Fred Joe Powell |
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Gender | Male |
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Speciality | Surgery - Plastic And Reconstructive Surgery |
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Location | 111 Nature Walk Parkway, St. Augustine, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609078542
- Provider Enumeration Date: 06/04/2007
- Last Update Date: 07/23/2010
Medical Identifiers
Medical identifiers for Dr Fred Joe Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609078542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME 80996 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fred Joe Powell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Fred Joe Powell, MD 111 Nature Walk Parkway, Suite 108, St. Augustine, FL 32092 Ph: (904) 230-7180 | Dr Fred Joe Powell, MD 111 Nature Walk Parkway, Suite 108, St. Augustine, FL 32092 Ph: (904) 230-7180 |
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