Russell R Addeo, PHD | |
3901 University Blvd S, Jacksonville, FL 32216-4312 | |
(904) 858-7216 | |
(904) 858-7255 |
Full Name | Russell R Addeo |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 29 Years |
Location | 3901 University Blvd S, 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 |
---|---|---|---|
1689698144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY5570 (Florida) | Primary |
103G00000X | Clinical Neuropsychologist | PY5570 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Rehabilitation Hospital, Inc. | 4284664954 | 8 |
Entity Name | Genesis Rehabilitation Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912947748 PECOS PAC ID: 4284664954 Enrollment ID: O20071026000121 |
Mailing Address | Practice Location Address |
---|---|
Russell R Addeo, PHD 11735 Glacier Bay Dr, Jacksonville, FL 32256-2989 Ph: () - | Russell R Addeo, PHD 3901 University Blvd S, Jacksonville, FL 32216-4312 Ph: (904) 858-7216 |
Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420 | |
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044 | |
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503 | |
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066 | |
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792 | |
Rachel Suzanne Wasson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |