Dr Jeffrey Elliot Packer, MD is a
Radiology - Diagnostic Radiology physician based in Fernandina, Florida. Dr Jeffrey Elliot Packer is licensed to practice in Pennsylvania (license number MD028565E) and his current practice location is 34 Beach Walker Rd, Fernandina, Florida. He can be reached at his office (for appointments etc.) via phone at
(952) 595-1100.
NPI number for Dr Jeffrey Elliot Packer is 1790760031 and his current mailing address is 11995 Singletree Ln, Suite 500, Eden Prairie, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790760031.
Physician's Profile
| Full Name | Dr Jeffrey Elliot Packer |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 34 Beach Walker Rd, Fernandina, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790760031
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 08/16/2013
Medical Identifiers
Medical identifiers for Dr Jeffrey Elliot Packer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790760031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34700 (Arizona) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD028565E (Pennsylvania) | 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 Jeffrey Elliot Packer 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 Jeffrey Elliot Packer, MD
11995 Singletree Ln, Suite 500,
Eden Prairie, MN 55344-5347
Ph: (952) 595-1301 | Dr Jeffrey Elliot Packer, MD
34 Beach Walker Rd,
Fernandina, FL 32034-6600
Ph: (952) 595-1100 |
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