Michael Vincent Defazio, MD | |
14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258-5473 | |
(904) 262-3372 | |
(904) 262-3306 |
Full Name | Michael Vincent Defazio |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 12 Years |
Location | 14546 Old Saint Augustine Rd Ste 407, Jacksonville, 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 |
---|---|---|---|
1821354325 | NPI | - | NPPES |
8JM813 | Other | TX | BCBS |
387059402 | Medicaid | TX | |
387059401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | R6770 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Florida Surgeons Pa | 2769381391 | 231 |
Entity Name | North Florida Surgeons Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
Mailing Address | Practice Location Address |
---|---|
Michael Vincent Defazio, MD 11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Michael Vincent Defazio, MD 14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258-5473 Ph: (904) 262-3372 |
Timothy Edward Fee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4147 Southpoint Dr E, Jacksonville, FL 32216 Phone: 904-332-6774 Fax: 904-332-9137 | |
Meredith Tinti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3627 University Blvd S Ste 500, Jacksonville, FL 32216 Phone: 904-596-0760 | |
Dr. George B Filosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Palm Ave Ste 500, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-7433 | |
Dr. Michael Anthony Edwards, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 215-707-3133 Fax: 215-707-3945 | |
Erin M Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 Phone: 904-398-3888 Fax: 904-400-6675 | |
Dr. Andrew James Kerwin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Ufjp Trauma Surgery, Jacksonville, FL 32209 Phone: 904-244-6631 Fax: 904-244-4687 | |
Dr. Marc George Mesleh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |