Dr Mark Brodeur, MD | |
3625 University Blvd S, Emergency Dept, Jacksonville, FL 32216-4207 | |
(904) 346-3606 | |
(904) 346-0113 |
Full Name | Dr Mark Brodeur |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 3625 University Blvd S, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952389538 | NPI | - | NPPES |
44098 | Other | FL | BCBS |
269864100 | Other | FL | FLORIDA MEDICAID |
P00139639 | Other | FL | RRMCR |
269864100 | Medicaid | FL | |
P00139639 | Other | RAILROAD MEDICARE | |
787365756A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | ME0090285 (Florida) | Primary |
Entity Name | Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Brodeur, MD Po Box 860554, Orlando, FL 32886-0554 Ph: (904) 346-3606 | Dr Mark Brodeur, MD 3625 University Blvd S, Emergency Dept, Jacksonville, FL 32216-4207 Ph: (904) 346-3606 |
Andrew Lim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1504 Dunsford Rd, Jacksonville, FL 32207 Phone: 904-253-3734 | |
Jennifer L. Mauzy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Belfort Rd, Jacksonville, FL 32216 Phone: 904-296-3885 | |
Max T Billingsley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Shircliff Way, Emergency Department, Jacksonville, FL 32204 Phone: 904-346-5426 Fax: 904-346-0113 | |
Kenneth Aung-din, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-399-6811 Fax: 904-346-0113 | |
Hannah Thomason Fox, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Daniel R Eraso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-6340 Fax: 904-244-4508 | |
Paul D Lucey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-308-7300 Fax: 904-346-0113 |