Dr Darrell George Vydra, DO is a medicare enrolled "Pain Medicine - Pain Medicine" provider in Jacksonville, Florida. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1689945495
- Provider Enumeration Date: 01/25/2012
- Last Update Date: 01/24/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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