Dr Grant Tyler Whittaker, MD | |
1348 South 18th Street, Suite 100, Fernandina Beach, FL 32034-4755 | |
(904) 261-0879 | |
(904) 277-7054 |
Full Name | Dr Grant Tyler Whittaker |
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Gender | Male |
Speciality | Gastroenterology |
Experience | 17 Years |
Location | 1348 South 18th Street, Fernandina Beach, 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 |
---|---|---|---|
1073710992 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Borland Groover Clinic, Pa | 6507761301 | 109 |
Entity Name | Borland Groover Clinic, Pa |
---|---|
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 Grant Tyler Whittaker, MD 4800 Belfort Rd, Jacksonville, FL 32256-6004 Ph: () - | Dr Grant Tyler Whittaker, MD 1348 South 18th Street, Suite 100, Fernandina Beach, FL 32034-4755 Ph: (904) 261-0879 |
Dr. William Fletcher Drewry Jr., MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5483 Florence Point Dr, Fernandina Beach, FL 32034 Phone: 904-415-5097 | |
John Hartwell Houston Mooney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 Phone: 904-261-9786 Fax: 904-277-4143 | |
Joseph A Lonzetta Jr., DO Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1987 S 8th St, Fernandina Beach, FL 32034 Phone: 904-624-7003 | |
Dr. George Glenn Le-bert, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1340 S 18th St Ste 202, Credentialing Department, Fernandina Beach, FL 32034 Phone: 904-261-9786 Fax: 904-261-6567 | |
Dr. Andrew Dean Magnet, MD, PHD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 505 Crosswind Dr, Fernandina Beach, FL 32034 Phone: 912-677-7739 | |
Dr. Harvey Gene Phillips Jr., MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1348 South 18th Street, Suite 100, Fernandina Beach, FL 32034 Phone: 904-261-0878 Fax: 904-277-7054 |