Paul Miller Crum Sr, MD | |
710 Lomax St, Jacksonville, FL 32204-4004 | |
(904) 355-6583 | |
(904) 355-4922 |
Full Name | Paul Miller Crum Sr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 63 Years |
Location | 710 Lomax St, 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 |
---|---|---|---|
1235270034 | NPI | - | NPPES |
045093600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME21669 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Entity Name | Florida Physician Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588917108 PECOS PAC ID: 4486806213 Enrollment ID: O20121130000298 |
Mailing Address | Practice Location Address |
---|---|
Paul Miller Crum Sr, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583 | Paul Miller Crum Sr, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583 |
Amanda Elizabeth Kahn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Eric Alee Vance Qualkenbush, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Daniela Andrea Haehn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922 | |
Gregory Broderick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |