James H Stevens Jr, MD | |
1026 Mar Walt Dr, Ft Walton Beach, FL 32547-6645 | |
(850) 863-5294 | |
(850) 864-1648 |
Full Name | James H Stevens Jr |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 35 Years |
Location | 1026 Mar Walt Dr, Ft Walton Beach, 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 |
---|---|---|---|
1467447565 | NPI | - | NPPES |
377888600 | Medicaid | FL | |
1179761 | Other | FL | WELLCARE |
009913035 | Other | AL | AL. MCAID PSO PROVIDER # |
118454 (CRO) | Medicaid | AL | |
16-01523 | Other | FL | UTD. HLTHCR. PROVIDER # |
009913045 | Other | AL | AL. MCAID FWB PROVIDER # |
212959 | Other | FL | AVMED |
009948615 | Other | AL | AL. MCAID SRB PROVIDER # |
118469 (DSF) | Medicaid | AL | |
8870766-006 | Other | FL | CIGNA PROVIDER NUMBER |
009913055 | Other | AL | AL. MCAID CRO PROV. # |
118458 (FWB) | Medicaid | AL | |
5120028 | Other | FL | AETNA PROVIDER NUMBER |
118471 (SRB) | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME0068163 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
North Okaloosa Medical Center | Crestview, FL | Hospital |
Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
Twin Cities Hospital | Niceville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesiscare Usa Of Florida Llc | 9830082882 | 237 |
Entity Name | Genesiscare Usa Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Mailing Address | Practice Location Address |
---|---|
James H Stevens Jr, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | James H Stevens Jr, MD 1026 Mar Walt Dr, Ft Walton Beach, FL 32547-6645 Ph: (850) 863-5294 |