Dr Heather Wilfong Svenson, MD | |
4215 Plantation Oaks Blvd, Orange Park, FL 32065-3641 | |
(904) 633-0820 | |
Not Available |
Full Name | Dr Heather Wilfong Svenson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4215 Plantation Oaks Blvd, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649381880 | NPI | - | NPPES |
649597456B | Medicaid | GA | |
649597456A | Medicaid | GA | |
000926087C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 050841 (Georgia) | Secondary |
208000000X | Pediatrics | ME119017 (Florida) | Primary |
Entity Name | Sgmc Physician Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather Wilfong Svenson, MD 13626 Shipwatch Dr, Jacksonville, FL 32225-5402 Ph: (912) 399-3824 | Dr Heather Wilfong Svenson, MD 4215 Plantation Oaks Blvd, Orange Park, FL 32065-3641 Ph: (904) 633-0820 |
John Chan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Ashley K Wright, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-364-3018 | |
Mrs. Daya J Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Bldg 9, Orange Park, FL 32073 Phone: 904-264-1958 Fax: 904-264-1677 | |
Dr. Charles T Dellinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Mark D Bedard, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Credentialing Department, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Dr. Thomas Michael Hardin, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1555 Kingsley Ave, Suite 601, Orange Park, FL 32073 Phone: 904-264-0264 Fax: 904-278-0437 | |
Dr. Mohammad Hassan Aboushaar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1555 Kingsley Ave, Suite 601, Orange Park, FL 32073 Phone: 904-264-0264 Fax: 904-278-2437 |