Shadi Ayyoub, | |
400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 | |
(904) 819-4082 | |
(904) 819-5156 |
Full Name | Shadi Ayyoub |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 400 Health Park Blvd Ste 300, St Augustine, 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 |
---|---|---|---|
1477674232 | NPI | - | NPPES |
277141 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 44249 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 37193 (Arizona) | Secondary |
208M00000X | Hospitalist | ME119332 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Tn Medical Center | Knoxville, TN | Hospital |
Erlanger Medical Center | Chattanooga, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Health System, Inc. | 5294646378 | 531 |
Entity Name | University Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Cogent Healthcare Of Tennessee, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952654246 PECOS PAC ID: 8628221165 Enrollment ID: O20130110000564 |
Entity Name | App Of Tennessee Hm, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
Mailing Address | Practice Location Address |
---|---|
Shadi Ayyoub, Po Box 3123, St Augustine, FL 32085-3123 Ph: (904) 819-4082 | Shadi Ayyoub, 400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 Ph: (904) 819-4082 |
Dr. Maried Esther Celkis, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 110 Hampton Point Dr, St Augustine, FL 32092 Phone: 904-484-7772 Fax: 904-390-7437 | |
Kumait Jaroje, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4085 Fax: 904-819-5056 | |
Justin Sager, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4082 Fax: 904-819-5056 | |
Casey Miller, ARNP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd Ste 221, St Augustine, FL 32086 Phone: 904-819-4497 |