Dr Mohammad Ilyas, MD | |
820 Prudential Dr Ste 405, Ufjp Pediatric Multispecialty, Jacksonville, FL 32207-8206 | |
(904) 633-0920 | |
(904) 600-0921 |
Full Name | Dr Mohammad Ilyas |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 35 Years |
Location | 820 Prudential Dr Ste 405, 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 |
---|---|---|---|
1104895416 | NPI | - | NPPES |
000923898A | Medicaid | GA | |
2593840-00 | Medicaid | FL | |
370020436 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME75454 (Florida) | Secondary |
2080P0210X | Pediatrics - Pediatric Nephrology | ME75454 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammad Ilyas, MD Po Box 44008, Ufjp Provider Enrollment, Jacksonville, FL 32231-4008 Ph: () - | Dr Mohammad Ilyas, MD 820 Prudential Dr Ste 405, Ufjp Pediatric Multispecialty, Jacksonville, FL 32207-8206 Ph: (904) 633-0920 |
Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508 | |
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921 | |
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548 | |
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912 | |
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600 | |
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188 | |
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994 |