Dr Jon Ward, MD | |
2505 Harrison Ave, Panama City, FL 32405-4423 | |
(850) 233-3376 | |
(850) 522-8354 |
Full Name | Dr Jon Ward |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 23 Years |
Location | 2505 Harrison Ave, Panama City, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720039829 | NPI | - | NPPES |
46665 | Other | FL | BLUE CROSS BLUE SHEILD |
511-14460 | Other | AL | BLUE CROSS BLUE SHEILD |
001101700 | Medicaid | FL | |
AI172 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 95816 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Dermatology Group Pa | 9931277233 | 42 |
Southeastern Dermatology Group Pa | 9931277233 | 42 |
Southeastern Dermatology Group Pa | 9931277233 | 42 |
Southeastern Dermatology Group Pa | 9931277233 | 42 |
Entity Name | Southeastern Dermatology Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518972231 PECOS PAC ID: 9931277233 Enrollment ID: O20081013000563 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon Ward, MD 2505 Harrison Ave, Panama City, FL 32405-4423 Ph: (850) 233-3376 | Dr Jon Ward, MD 2505 Harrison Ave, Panama City, FL 32405-4423 Ph: (850) 233-3376 |
Mr. Cyrus Grant Nabavi, PA Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2505 Harrison Ave, Panama City, FL 32405 Phone: 877-231-3376 | |
Robert John Siragusa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Harrison Ave, Panama City, FL 32405 Phone: 850-769-1668 Fax: 850-785-2123 | |
Alexander Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 425 W 19th St Ste D&e, Panama City, FL 32405 Phone: 850-818-0220 Fax: 850-818-0156 | |
Charles Russell Kovaleski, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Harrison Ave, Panama City, FL 32405 Phone: 850-769-1668 Fax: 850-785-2123 | |
Dr. Jeremy Alexander Sunseri, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jenks Ave, Panama City, FL 32405 Phone: 850-215-3612 Fax: 850-215-4533 |