Dr Matthew Ryan Deboer, DO | |
1310 County Road 210 W, Saint Johns, FL 32259 | |
(904) 824-4407 | |
(904) 390-7459 |
Full Name | Dr Matthew Ryan Deboer |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 1310 County Road 210 W, Saint Johns, 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 |
---|---|---|---|
1104047893 | NPI | - | NPPES |
P00855555 | Other | FL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS10998 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Primary Care Inc | 0648177733 | 405 |
Entity Name | Baptist Primary Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Ryan Deboer, DO Po Box 44004, Jacksonville, FL 32231-4004 Ph: (904) 202-1032 | Dr Matthew Ryan Deboer, DO 1310 County Road 210 W, Saint Johns, FL 32259 Ph: (904) 824-4407 |
Olivia Michelle Bullock, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 | |
Dr. Ana Maria Romero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 | |
Farid Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 County Road 210 W Ste 101, Saint Johns, FL 32259 Phone: 904-450-8401 Fax: 904-450-8419 | |
Robert Edward Stapleton, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 | |
Tristan A Imhof, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Race Track Road, Suite A, Saint Johns, FL 32259 Phone: 904-819-1005 Fax: 904-819-1002 |