Jean-wilner Mathieu, MD | |
1234 Ne 4th Ave, Suite A, Fort Lauderdale, FL 33304-1925 | |
(954) 779-1667 | |
(954) 760-7253 |
Full Name | Jean-wilner Mathieu |
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Gender | Male |
Speciality | Pediatrics |
Location | 1234 Ne 4th Ave, Fort Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629066980 | NPI | - | NPPES |
062870100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME 0042195 (Florida) | Primary |
208D00000X | General Practice | ME 0042195 (Florida) | Secondary |
Entity Name | Manor Plaza Pediatric Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558657130 PECOS PAC ID: 5193971000 Enrollment ID: O20120808000937 |
Mailing Address | Practice Location Address |
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Jean-wilner Mathieu, MD 1234 Ne 4th Ave, Suite A, Fort Lauderdale, FL 33304-1925 Ph: (954) 779-1667 | Jean-wilner Mathieu, MD 1234 Ne 4th Ave, Suite A, Fort Lauderdale, FL 33304-1925 Ph: (954) 779-1667 |
Dianne Mattox Parker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Newborn Nursery, Fort Lauderdale, FL 33316 Phone: 954-355-5810 | |
Dr. Paula Michele Thaqi, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 780 Sw 24th St, Fort Lauderdale, FL 33315 Phone: 954-467-4700 Fax: 954-467-4704 | |
Tonya Grissam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308 Phone: 800-586-5022 Fax: 954-229-9801 | |
Alexis Dietz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304 Phone: 954-300-1736 | |
Dr. Natasha Mendez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316 Phone: 954-832-0332 Fax: 954-832-0289 | |
Johanna Albrecht, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Nw 7th Ave, Fort Lauderdale, FL 33311 Phone: 954-759-6600 Fax: 954-759-6665 | |
John Russell Livengood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 Sw 24th St, Medical Administration, Fort Lauderdale, FL 33315 Phone: 954-467-4822 |