Walter B Frady, MD | |
16 St Johns Medical Park Dr, St Augustine, FL 32086-5299 | |
(904) 794-5411 | |
(907) 794-4224 |
Full Name | Walter B Frady |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 32 Years |
Location | 16 St Johns Medical Park Dr, 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 |
---|---|---|---|
1255361382 | NPI | - | NPPES |
26762 | Other | BLUE CROSS/SHIELD | |
377674300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME66290 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Florida Hospital Flagler | Palm coast, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Of Florida Iv, Llc | 6002198082 | 30 |
Entity Name | Internal Medicine Associates Of St Johns County Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699704841 PECOS PAC ID: 4082693759 Enrollment ID: O20040715001397 |
Entity Name | Cogent Healthcare Of Jacksonville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
Entity Name | Sound Physicians Of Florida Iv, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
Entity Name | Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063058105 PECOS PAC ID: 3870920861 Enrollment ID: O20200304001501 |
Mailing Address | Practice Location Address |
---|---|
Walter B Frady, MD 16 St Johns Medical Park Dr, St Augustine, FL 32086-5299 Ph: (904) 794-5411 | Walter B Frady, MD 16 St Johns Medical Park Dr, St Augustine, FL 32086-5299 Ph: (904) 794-5411 |
Dr. Jesus Manuel Salas Noain, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 40 Groover Loop Ste 200, St Augustine, FL 32086 Phone: 904-398-7205 Fax: 904-823-9613 | |
Dr. Rosemarie L. Lim, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 228 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6266 Fax: 904-826-3244 | |
Dr. David Brett Goldberg, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Dr. Gaurav Trikha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Whitehall Dr, St Augustine, FL 32086 Phone: 904-825-4500 Fax: 904-825-3672 | |
Dr. Adey A A Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Southpark Cir E, St Augustine, FL 32086 Phone: 904-829-8300 Fax: 904-829-8310 | |
Bernard R Borbely, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite208, St Augustine, FL 32086 Phone: 904-819-6800 Fax: 904-819-6700 | |
Dr. Daniel J Gassert, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6108 Fax: 904-823-9613 |