Dr Michael A Fallucco, MD | |
14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418 | |
(904) 262-3372 | |
(904) 262-3306 |
Full Name | Dr Michael A Fallucco |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 19 Years |
Location | 14540 Old Saint Augustine Rd, 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 |
---|---|---|---|
1851594436 | NPI | - | NPPES |
14C77 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | ME109463 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Florida Surgeons Pa | 2769381391 | 231 |
Entity Name | North Florida Surgeons Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Fallucco, MD 11945 San Jose Blvd, Bldg. 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Dr Michael A Fallucco, MD 14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418 Ph: (904) 262-3372 |
John Murray, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4555 Emerson St, Suite 230, Jacksonville, FL 32207 Phone: 904-633-0130 Fax: 904-633-0131 | |
Sarvam Terkonda, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mohamad Reza Samiian, MD PA Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4221 Southpoint Pkwy, Jacksonville, FL 32216 Phone: 904-296-2810 Fax: 904-296-3424 | |
David Colton Riley, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Paige Cummings, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Miss Kathleen R Renner, A.P.R.N. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4147 Southpoint Dr East, Optional, Jacksonville, FL 32216 Phone: 904-332-6774 Fax: 904-661-0028 | |
Vaishali B Doolabh, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7035 Southpoint Pkwy S, Jacksonville, FL 32216 Phone: 904-854-4800 Fax: 904-854-4801 |