Mr Jason L Lockridge, MD | |
1761 Palm Bay Rd Ne, Palm Bay, FL 32905-2902 | |
(321) 220-6400 | |
(321) 220-6401 |
Full Name | Mr Jason L Lockridge |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 30 Years |
Location | 1761 Palm Bay Rd Ne, Palm Bay, 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 |
---|---|---|---|
1922092576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME140072 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aqua Dermatology Of Florida, Pa | 1153390414 | 161 |
Entity Name | Waters Edge Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134148992 PECOS PAC ID: 6901893155 Enrollment ID: O20040428001535 |
Entity Name | Aqua Dermatology Of Florida, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538270335 PECOS PAC ID: 1153390414 Enrollment ID: O20041002000097 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason L Lockridge, MD 900 Village Square Xing Ste 290, Palm Beach Gardens, FL 33410-4552 Ph: () - | Mr Jason L Lockridge, MD 1761 Palm Bay Rd Ne, Palm Bay, FL 32905-2902 Ph: (321) 220-6400 |
Shery Mathew Varghese, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1761 Palm Bay Rd Ne, Palm Bay, FL 32905 Phone: 321-220-6400 | |
Dr. Ruben Antenor Moreno, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907 Phone: 321-768-1600 | |
Dr. Robert Michael Taylor, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5070 Minton Rd Nw, Ste 5, Palm Bay, FL 32907 Phone: 941-484-1510 Fax: 941-484-1071 |