Michael Shodeinde, | |
2001 Kingsley Ave, Orange Park, FL 32073-5148 | |
(904) 639-2112 | |
(904) 639-2015 |
Full Name | Michael Shodeinde |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 2001 Kingsley Ave, Orange Park, 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 |
---|---|---|---|
1285166157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | ME142887 (Florida) | Secondary |
207Q00000X | Family Medicine | ME142887 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shands Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cogent Healthcare Of Jacksonville, Llc | 1759435944 | 121 |
Mc Medical Llc | 4183955974 | 153 |
Entity Name | Cogent Healthcare Of Jacksonville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
Entity Name | Sound Physicians Of Florida Iv, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
Entity Name | Hospitalist Medicine Physicians Of Florida - Jacksonville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841778461 PECOS PAC ID: 4183960545 Enrollment ID: O20190107002674 |
Entity Name | Mc Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982293718 PECOS PAC ID: 4183955974 Enrollment ID: O20220111001955 |
Mailing Address | Practice Location Address |
---|---|
Michael Shodeinde, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: () - | Michael Shodeinde, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-2112 |
Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553 | |
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Kingsley Ave, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492 | |
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266 | |
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225 | |
Dr. Abdul A Qazizada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 865 Blanding Blvd, Orange Park, FL 32065 Phone: 904-276-1133 Fax: 904-276-1821 | |
David Maynoldi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 Kingsley Ave, Orange Park, FL 32073 Phone: 877-842-4020 Fax: 877-842-4020 |