Lavida J Thomas-richardson, MD | |
9580 Applecross Rd Ste 106, Jacksonville, FL 32222-5843 | |
(904) 778-9180 | |
(904) 778-9740 |
Full Name | Lavida J Thomas-richardson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 9580 Applecross Rd Ste 106, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700828373 | NPI | - | NPPES |
276406700 | Medicaid | FL | |
54249 | Other | FL | BCBS |
209336087B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME86296 (Florida) | Primary |
Entity Name | Optumcare Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123 |
Mailing Address | Practice Location Address |
---|---|
Lavida J Thomas-richardson, MD 2517 Momentum Pl, Chicago, IL 60689-0001 Ph: (904) 778-9180 | Lavida J Thomas-richardson, MD 9580 Applecross Rd Ste 106, Jacksonville, FL 32222-5843 Ph: (904) 778-9180 |
Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578 | |
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468 | |
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871 | |
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791 | |
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952 | |
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |