Luna I Khadour, MD | |
12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 | |
(904) 268-5561 | |
(904) 268-5506 |
Full Name | Luna I Khadour |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 34 Years |
Location | 12276 San Jose Blvd, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114925922 | NPI | - | NPPES |
ME0083314 | Other | FL | FL LICENSE |
03243 | Other | FL | BLUE CROSS BLUE SHIELD |
000984800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0083314 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Florida First Care Inc | Orange park, FL | Home health agency |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Orange Park Medical Center | Orange park, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Family Practice Associates, Llc | 8820003411 | 48 |
Entity Name | Memorial Family Practice Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077 |
Mailing Address | Practice Location Address |
---|---|
Luna I Khadour, MD 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 Ph: (904) 268-5561 | Luna I Khadour, MD 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 Ph: (904) 268-5561 |
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 |