Dr Alexis Tam Mugno, DPM | |
2300 Park Ave Ste 206, Orange Park, FL 32073-5573 | |
(904) 634-0640 | |
(904) 634-0203 |
Full Name | Dr Alexis Tam Mugno |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 5 Years |
Location | 2300 Park Ave Ste 206, Orange Park, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104480284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO4300 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Orthopedic Specialists Llc | 1456246974 | 116 |
Provider Name | Southeast Orthopedic Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
Mailing Address | Practice Location Address |
---|---|
Dr Alexis Tam Mugno, DPM 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Dr Alexis Tam Mugno, DPM 2300 Park Ave Ste 206, Orange Park, FL 32073-5573 Ph: (904) 634-0640 |
Podiatry Associates Of Florida Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 2140 Kingsley Ave, Ste 12, Orange Park, FL 32073 Phone: 904-272-7070 Fax: 904-272-3668 | |
Dr. Tyler Kenneth Sorensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 981 Kingsley Ave, Orange Park, FL 32073 Phone: 904-269-9595 Fax: 904-264-5211 | |
Barry L Efron, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Ste 12, Orange Park, FL 32073 Phone: 904-272-7070 Fax: 904-272-3668 | |
Dr. Brittany A Lovett, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1409 Kingsley Ave Ste 6b, Orange Park, FL 32073 Phone: 904-329-1391 | |
First Coast Podiatric Surgery And Wound Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1409 Kingsley Ave, Suite 9-g, Orange Park, FL 32073 Phone: 904-637-0037 | |
Ankle Foot And Leg Centers Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3075 Chestnut Ridge Way, Orange Park, FL 32065 Phone: 321-591-8039 Fax: 904-467-3577 |