Dr Michael Brian Till, MD | |
110 Hampton Point Dr, St Augustine, FL 32092-3063 | |
(904) 484-7772 | |
(904) 390-7437 |
Full Name | Dr Michael Brian Till |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 110 Hampton Point Dr, St Augustine, 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 |
---|---|---|---|
1184665630 | NPI | - | NPPES |
59-2452553 | Other | FL | CHAMPUS |
270480300 | Medicaid | FL | |
50481 | Other | FL | BLUE CROSS / BLUE SHIELD |
P00222162 | Other | FL | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME 88768 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Golden Heart Home Health Care | Orange park, FL | Home health agency |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
Flagler Hospital | Saint augustine, 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 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Brian Till, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Dr Michael Brian Till, MD 110 Hampton Point Dr, St Augustine, FL 32092-3063 Ph: (904) 484-7772 |
Michael Clore Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Health Park Blvd, Suite 327, St Augustine, FL 32086 Phone: 904-825-3606 Fax: 904-825-0753 | |
Dr. Warren George Feldman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084 Phone: 904-824-8088 Fax: 904-826-4105 | |
Dr. Melchor G Barros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Plantation Island Dr S, 102-b, St Augustine, FL 32080 Phone: 904-471-2593 Fax: 904-471-4569 | |
Dr. Walid Omar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite 204, St Augustine, FL 32086 Phone: 217-720-3144 Fax: 904-404-8447 | |
Dr. Eva Villanueva, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd Ste 300, St Augustine, FL 32086 Phone: 904-819-4082 Fax: 904-819-5156 | |
Basant M Farghaly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Us Highway 1 S Ste 4, St Augustine, FL 32086 Phone: 904-810-8063 Fax: 904-621-9230 | |
Dr. Nivali Ravi, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 State Road 207, Suite 102, St Augustine, FL 32084 Phone: 904-824-8158 Fax: 904-823-1284 |