John Courtney Kaufman, MD | |
10000 Sw Innovation Way, Port St Lucie, FL 34987-2111 | |
(772) 345-8100 | |
Not Available |
Full Name | John Courtney Kaufman |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 10000 Sw Innovation Way, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841283546 | NPI | - | NPPES |
00725402 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 132622 (New York) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | ME148331 (Florida) | Primary |
Entity Name | St Josephs Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
Mailing Address | Practice Location Address |
---|---|
John Courtney Kaufman, MD 226 Eagle Dr, Jupiter, FL 33477-4060 Ph: (917) 226-5646 | John Courtney Kaufman, MD 10000 Sw Innovation Way, Port St Lucie, FL 34987-2111 Ph: (772) 345-8100 |
Dr. Theodore G Pettle, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1700 Se Hillmoor Dr, Port St Lucie, FL 34952 Phone: 772-335-9600 | |
Alan Steven Collin, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1871 Se Tiffany Ave, Suite 100, Port St Lucie, FL 34952 Phone: 772-335-5666 Fax: 772-335-4826 | |
Dr. Gerald John Rutecki, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 473 Nw Blue Lake Dr, Port St Lucie, FL 34986 Phone: 772-336-8039 | |
Dr. Dana D Dameron Jr., D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 475 Nw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-800-3037 Fax: 772-807-1409 | |
Ahmet Bahadir Ergin, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1700 Se Hillmoor Dr, Port St Lucie, FL 34952 Phone: 772-335-9600 Fax: 772-335-7972 | |
Dr. Philip Lortz, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1855 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-288-6300 Fax: 772-288-6374 | |
Edwin Benedict Flanagan, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 Fax: 772-398-1815 |