Ian Michael Durham, | |
1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | |
(904) 308-7300 | |
Not Available |
Full Name | Ian Michael Durham |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 6 Years |
Location | 1 Shircliff Way Fl 32204, Jacksonville, 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 |
---|---|---|---|
1659856862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Florida Anesthesia Consultants Inc | 7416869565 | 110 |
Entity Name | North Florida Anesthesia Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346236866 PECOS PAC ID: 7416869565 Enrollment ID: O20031105000664 |
Mailing Address | Practice Location Address |
---|---|
Ian Michael Durham, 6658 Cable Car Ln, Wilmington, NC 28403-3606 Ph: (910) 620-4811 | Ian Michael Durham, 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 Ph: (904) 308-7300 |
Alyssa Kay Burgo, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Haley Wingo, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-8000 | |
Mr. Kyle Matthew Hillis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 606, Jacksonville, FL 32207 Phone: 904-398-3356 | |
April Jennifer Harris Still, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3660 | |
Benjamin Olson Dickey, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Olga B Carroll, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-0411 | |
William James Morgan, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 |