Mr Luther St James Iii, MD | |
1890 Lpga Blvd, 170, Daytona Beach, FL 32117-7130 | |
(386) 274-3354 | |
(386) 274-5564 |
Full Name | Mr Luther St James Iii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 1890 Lpga Blvd, Daytona Beach, 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 |
---|---|---|---|
1013105477 | NPI | - | NPPES |
08883 | Other | FL | BLUE CROSS BLUE SHEILD |
ME51067 | Other | FL | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME51067 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventhealth Primary Care Network Inc | 1557722410 | 338 |
Entity Name | Adventhealth Primary Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
Mailing Address | Practice Location Address |
---|---|
Mr Luther St James Iii, MD 1890 Lpga Blvd, 170, Daytona Beach, FL 32117-7130 Ph: (386) 274-3354 | Mr Luther St James Iii, MD 1890 Lpga Blvd, 170, Daytona Beach, FL 32117-7130 Ph: (386) 274-3354 |
Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165 | |
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944 | |
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891 | |
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571 | |
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507 | |
Dr. Jose Omar Burgos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-425-4165 Fax: 386-425-7545 |