Dr Darrell George Vydra, DO is a medicare enrolled "Pain Medicine - Pain Medicine" provider in Jacksonville, Florida. He went to William Carey University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Jeffrey Zollinger D O Pc and his current practice location is
4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 953-2000.
Dr Darrell George Vydra is licensed to practice in Florida (license number OS17817) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689945495.
Healthcare Provider's Profile
| Full Name | Dr Darrell George Vydra |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 7 Years |
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| Location | 4500 San Pablo Rd S, Jacksonville, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Darrell George Vydra attended and graduated from William Carey University College Of Osteopathic Medicine in 2017
NPI Data:
- NPI Number: 1689945495
- Provider Enumeration Date: 01/25/2012
- Last Update Date: 01/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981971397
- Enrollment ID: I20220624001392
Medical Identifiers
Medical identifiers for Dr Darrell George Vydra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689945495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 4942 (Mississippi) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | OS17817 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jeffrey Zollinger D O Pc | 5597980326 | 9 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Darrell George Vydra allows following entities to bill medicare on his behalf.
| Provider Name | Jeffrey Zollinger D O Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982018206
PECOS PAC ID: 5597980326
Enrollment ID: O20140710000894 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Darrell George Vydra is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Darrell George Vydra, DO
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
Ph: (904) 953-2000 | Dr Darrell George Vydra, DO
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
Ph: (904) 953-2000 |
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