Dr John M Vassallo, MD | |
3780 Us Highway 1 S, St Augustine, FL 32086-7150 | |
(904) 797-7722 | |
Not Available |
Full Name | Dr John M Vassallo |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 3780 Us Highway 1 S, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346241221 | NPI | - | NPPES |
263472401 | Medicaid | FL | |
263472400 | Medicaid | FL | |
12416 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | ME0059092 (Florida) | Primary |
Entity Name | North Florida Surgeons Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
Mailing Address | Practice Location Address |
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Dr John M Vassallo, MD Po Box 1598, St Augustine, FL 32085-1598 Ph: (904) 797-7722 | Dr John M Vassallo, MD 3780 Us Highway 1 S, St Augustine, FL 32086-7150 Ph: (904) 797-7722 |
Tawhid Simon Hossain, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 301 Health Park Blvd, Suite 215, St Augustine, FL 32086 Phone: 904-823-3394 Fax: 904-823-8557 | |
Todd P Thompson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 1 S, St Augustine, FL 32084 Phone: 904-829-2286 Fax: 904-810-5687 | |
Michael Ray Epps Jr., DO Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1400 Us Highway 1 S, St Augustine, FL 32084 Phone: 904-829-2286 | |
James A Tammaro, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 1 S, St Augustine, FL 32084 Phone: 904-484-7356 Fax: 904-679-3727 | |
William J Oktavec, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Place, #106, St Augustine, FL 32086 Phone: 904-826-3937 Fax: 904-826-3977 |