Dr Mohamed Omar Radwan, MD | |
1325 San Marco Blvd, Reid Building, Ste 300, Jacksonville, FL 32207-8568 | |
(904) 253-6910 | |
(904) 253-6964 |
Full Name | Dr Mohamed Omar Radwan |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 22 Years |
Location | 1325 San Marco Blvd, 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 |
---|---|---|---|
1063746873 | NPI | - | NPPES |
003911100 | Medicaid | FL | |
936658 | Other | FL | AETNA |
P01364661 | Other | FL | MEDICARE RAILROAD |
59-3385828 | Other | FL | TAX ID FOR OTHER INSURANCES |
14H00 | Other | FL | BCBS |
348958 | Other | FL | AVMED |
Facility Name | Location | Facility Type |
---|---|---|
Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
La Jolla Pulmonary And Critical Care Inc | 7911908645 | 7 |
Scripps Health Inpatient Providers Medical Group Inc | 9436314762 | 155 |
Entity Name | La Jolla Pulmonary And Critical Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912076365 PECOS PAC ID: 7911908645 Enrollment ID: O20070124000291 |
Entity Name | Scripps Health Inpatient Providers Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699043000 PECOS PAC ID: 9436314762 Enrollment ID: O20120711000317 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohamed Omar Radwan, MD 1325 San Marco Blvd, Reid Building, Ste 300, Jacksonville, FL 32207-8568 Ph: (904) 253-6910 | Dr Mohamed Omar Radwan, MD 1325 San Marco Blvd, Reid Building, Ste 300, Jacksonville, FL 32207-8568 Ph: (904) 253-6910 |
Dr. Jami Ann Rothe Kinnucan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |