Dr Jackie W Westfall, DO | |
2370 E International Speedway Blvd, Deland, FL 32724-2744 | |
(386) 736-1105 | |
(386) 734-1443 |
Full Name | Dr Jackie W Westfall |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2370 E International Speedway Blvd, Deland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740248152 | NPI | - | NPPES |
80464 | Other | FL | BCBS PROVIDER NUMBER |
054261000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS5855 (Florida) | Secondary |
207Q00000X | Family Medicine | OS5855 (Florida) | Primary |
Entity Name | Med Equity Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093253890 PECOS PAC ID: 4981942505 Enrollment ID: O20190206002037 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackie W Westfall, DO 2370 E International Speedway Blvd, Deland, FL 32724-2744 Ph: (386) 736-1105 | Dr Jackie W Westfall, DO 2370 E International Speedway Blvd, Deland, FL 32724-2744 Ph: (386) 736-1105 |
Thomas Jude Montaldo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St, Suite A, Deland, FL 32720 Phone: 386-943-7100 Fax: 386-738-2624 | |
Robert Solomon Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 Phone: 386-943-3234 | |
Sue-ellen Elizabeth Griffith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St Ste A, Deland, FL 32720 Phone: 386-943-7100 | |
Stephen Mcaskill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-8000 Fax: 386-738-7211 | |
Dr. Melanie Renee Vandemark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 S Woodland Blvd, Suite 300-c, Deland, FL 32720 Phone: 386-740-1701 | |
Dr. Elizabeth Rivera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 929 N Spring Garden Ave Ste 170, Deland, FL 32720 Phone: 386-738-9144 Fax: 386-738-9213 | |
Mr. Cesar Nabong Abiera Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2729 S Woodland Blvd, Deland, FL 32720 Phone: 386-943-8883 Fax: 386-943-8056 |