Dr Kenneth Joseph Eaddy, MD | |
3750 San Jose Pl Ste 35, Jacksonville, FL 32257-8861 | |
(904) 902-4126 | |
Not Available |
Full Name | Dr Kenneth Joseph Eaddy |
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Gender | Male |
Speciality | Pain Management |
Experience | 18 Years |
Location | 3750 San Jose Pl Ste 35, Jacksonville, 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 |
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1154506376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME107723 (Florida) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | ME107723 (Florida) | Primary |
Facility Name | Location | Facility Type |
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Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Entity Name | Southeast Interventional Pain Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710618160 PECOS PAC ID: 3870974033 Enrollment ID: O20220719002021 |
Mailing Address | Practice Location Address |
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Dr Kenneth Joseph Eaddy, MD 3750 San Jose Pl Ste 35, Jacksonville, FL 32257-8861 Ph: () - | Dr Kenneth Joseph Eaddy, MD 3750 San Jose Pl Ste 35, Jacksonville, FL 32257-8861 Ph: (904) 902-4126 |
Dr. Hemant N Shah, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 9421 Waypoint Pl, Jacksonville, FL 32257 Phone: 904-268-8200 Fax: 904-268-8298 | |
Ismail Salahi, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4063 Salisbury Rd, Suite 206, Jacksonville, FL 32216 Phone: 904-296-3611 Fax: 904-296-3617 | |
Dr. Craig Allen Kornick, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 7207 Golden Wings Road, Jacksonville, FL 32244 Phone: 904-389-1010 Fax: 904-389-1082 | |
Dr. Sourial Morris Sourial, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 6484 Fort Caroline Rd, Jacksonville, FL 32277 Phone: 904-744-7300 Fax: 904-722-4271 | |
Kevin Newton, Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 9191 Rg Skinner Pkwy, Ste 303, Jacksonville, FL 32256 Phone: 240-855-5723 Fax: 904-503-0982 | |
Nolan A Gall, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256 Phone: 904-634-0640 Fax: 904-634-0203 | |
Sheila Casabar, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5011 Gate Parkway, Bldg 100 Ste 100, Jacksonville, FL 32256 Phone: 904-512-7239 Fax: 866-380-0827 |