Ms Laura Nance Beverly, MD | |
1522 Penman Rd., Jacksonville Beach, FL 32250 | |
(904) 253-2555 | |
(904) 270-2559 |
Full Name | Ms Laura Nance Beverly |
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Gender | Female |
Speciality | Pediatrics |
Location | 1522 Penman Rd., Jacksonville Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235189861 | NPI | - | NPPES |
3740781-01 | Medicaid | FL | |
374078101 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME59866 (Florida) | Primary |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
---|---|
Ms Laura Nance Beverly, MD 900 University Blvd. North, Mc 75, Jacksonville, FL 32211 Ph: (904) 253-2062 | Ms Laura Nance Beverly, MD 1522 Penman Rd., Jacksonville Beach, FL 32250 Ph: (904) 253-2555 |
Dr. Rebecca Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 333 4th Ave N, Jacksonville Beach, FL 32250 Phone: 904-246-8684 Fax: 904-246-6878 | |
Dana Rachael Eyerly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 950 Marsh Landing Pkwy Ste 105a, Jacksonville Beach, FL 32250 Phone: 904-280-1225 Fax: 904-390-7505 | |
Rachael C Evans, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 3rd St S, Jacksonville Beach, FL 32250 Phone: 904-450-7050 Fax: 904-450-7059 | |
Barbara O'reilly, M.D., P.A. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1370 13th Ave S, Ste. 216, Jacksonville Beach, FL 32250 Phone: 904-246-8480 Fax: 904-246-8578 | |
Dr. Pauline J Rolle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 3rd St S Ste 101, Jacksonville Beach, FL 32250 Phone: 904-450-7050 Fax: 904-450-7059 | |
Raed Assar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1923 Eastern Dr, Jacksonville Beach, FL 32250 Phone: 904-242-0899 |