Robert B Fulton, MD | |
1 Shircliff Way, Jacksonville, FL 32204-4748 | |
(904) 308-7300 | |
(419) 866-5453 |
Full Name | Robert B Fulton |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Shircliff Way, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295761740 | NPI | - | NPPES |
P00084729 | Other | FL | RAILROAD MEDICARE |
255502600 | Medicaid | FL | |
11183 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME0048483 (Florida) | Primary |
Entity Name | Emergency Medical Specialists Of Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
Mailing Address | Practice Location Address |
---|---|
Robert B Fulton, MD Po Box 863026, Orlando, FL 32866-3026 Ph: (800) 288-8325 | Robert B Fulton, MD 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300 |
Andrew Lim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1504 Dunsford Rd, Jacksonville, FL 32207 Phone: 904-253-3734 | |
Jennifer L. Mauzy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Belfort Rd, Jacksonville, FL 32216 Phone: 904-296-3885 | |
Max T Billingsley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Shircliff Way, Emergency Department, Jacksonville, FL 32204 Phone: 904-346-5426 Fax: 904-346-0113 | |
Kenneth Aung-din, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-399-6811 Fax: 904-346-0113 | |
Hannah Thomason Fox, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Daniel R Eraso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-6340 Fax: 904-244-4508 | |
Paul D Lucey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-308-7300 Fax: 904-346-0113 |