Tristan A Imhof, MD | |
2570 Race Track Road, Suite A, Saint Johns, FL 32259 | |
(904) 819-1005 | |
(904) 819-1002 |
Full Name | Tristan A Imhof |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 2570 Race Track Road, Saint Johns, 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 |
---|---|---|---|
1699123968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MT211126 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | ME141969 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flagler Hospital | Saint augustine, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Flagler Professional Health Care Services Inc | 4082973953 | 32 |
Entity Name | Flagler Professional Health Care Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023672573 PECOS PAC ID: 4082973953 Enrollment ID: O20190729002457 |
Mailing Address | Practice Location Address |
---|---|
Tristan A Imhof, MD Po Box 3266, Saint Augustine, FL 32085-3266 Ph: () - | Tristan A Imhof, MD 2570 Race Track Road, Suite A, Saint Johns, FL 32259 Ph: (904) 819-1005 |
Dr. Matthew Ryan Deboer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 | |
Olivia Michelle Bullock, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 | |
Dr. Ana Maria Romero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 | |
Farid Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 County Road 210 W Ste 101, Saint Johns, FL 32259 Phone: 904-450-8401 Fax: 904-450-8419 | |
Robert Edward Stapleton, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 |