Mark James Elder, DO | |
3887 Scotts Plaza Dr, Jay, FL 32565-4001 | |
(850) 981-0320 | |
(850) 981-0911 |
Full Name | Mark James Elder |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 3887 Scotts Plaza Dr, Jay, 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 |
---|---|---|---|
1477559409 | NPI | - | NPPES |
263360638 | Other | FL | TAX ID |
590-48269 | Other | AL | BCBS |
05247 | Other | FL | BLUE CROSS FLORIDA |
HS620A | Other | FL | MEDICARE GROUP PTAN |
262643800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS8505 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Jay Hospital | Jay, FL | Hospital |
Santa Rosa Medical Center | Milton, FL | Hospital |
Century Center For Rehabilitation And Healing | Century, FL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Panhandle Rural Health Incorporated | 1557358801 | 5 |
Jay Hospital Inc | 3577466325 | 4 |
Entity Name | Jay Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518071562 PECOS PAC ID: 3577466325 Enrollment ID: O20040129000235 |
Entity Name | Panhandle Rural Health Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255398228 PECOS PAC ID: 1557358801 Enrollment ID: O20121022000294 |
Mailing Address | Practice Location Address |
---|---|
Mark James Elder, DO 3887 Scotts Plaza Dr, Jay, FL 32565-4001 Ph: (850) 981-0320 | Mark James Elder, DO 3887 Scotts Plaza Dr, Jay, FL 32565-4001 Ph: (850) 981-0320 |
Dr. Edward Brian Jorgensen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 14114 Alabama St, Jay Hospital, Jay, FL 32565 Phone: 850-675-8035 | |
John-stewart Michael Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 | |
Cleatious David Smith, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 |