Yuri E Reinberg, MD | |
807 Childrens Way, Jacksonville, FL 32207-8426 | |
(904) 697-3600 | |
(904) 697-3927 |
Full Name | Yuri E Reinberg |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 807 Childrens 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 |
---|---|---|---|
1174584619 | NPI | - | NPPES |
10187410001 | Medicaid | FL | |
690008900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 30855 (Minnesota) | Secondary |
2088P0231X | Urology - Pediatric Urology | ME138919 (Florida) | Primary |
Entity Name | Pediatric Surgical Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093778292 PECOS PAC ID: 3678477544 Enrollment ID: O20031121000636 |
Mailing Address | Practice Location Address |
---|---|
Yuri E Reinberg, MD 2530 Chicago Ave, #550, Minneapolis, MN 55404-4289 Ph: (612) 813-8000 | Yuri E Reinberg, MD 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 697-3600 |
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 |