Dr Johnny R Bernard Jr, MD | |
6029 Old Kings Rd, Palm Coast, FL 32137 | |
(901) 301-1942 | |
Not Available |
Full Name | Dr Johnny R Bernard Jr |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 6029 Old Kings Rd, Palm Coast, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972510493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME96366 (Florida) | Primary |
2085R0001X | Radiology - Radiation Oncology | 35099044 (Ohio) | Secondary |
Entity Name | Somc Medical Care Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
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Dr Johnny R Bernard Jr, MD 159 Island Estates Pkwy, Palm Coast, FL 32137-2206 Ph: (901) 301-1942 | Dr Johnny R Bernard Jr, MD 6029 Old Kings Rd, Palm Coast, FL 32137 Ph: (901) 301-1942 |
Paul Peter Harkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047 | |
Kasra R Badiozamani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2060 | |
Nevine Hanna, Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047 | |
Dr. Muhammad Noor, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047 | |
Dr. Vinay Pai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047 | |
Dr. Andre Stephen Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 | |
Nadeen Karim Abu Ata, M.D Radiology Medicare: Medicare Enrolled Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047 |