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Gregory Blair Stringfellow

Radiology

Allopathic & Osteopathic Physicians

3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000

PECOS Enrollment

This provider is enrolled in PECOS as GREGORY STRINGFELLOW.

Based on the most recent information from CMS, provider Gregory Blair Stringfellow is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1972701001
Provider Type
Individual
Full Name
Stringfellow, Gregory Blair
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/10/2007
Last Updated
8/22/2017

Contact Information

Practice Location

3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000

(904) 399-5550

(904) 346-4334

Mailing Location

3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000

(904) 399-5550

(904) 346-4334

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License ME101511 Florida
Code 2085R0204X	Description Radiology Allopathic & Osteopathic Physicians	License ME101511 Florida

Provider Identifiers

ID	Description	Issuer
ID 000426300	Description Medicaid	Issuer Unlisted Florida
ID 060827737A	Description Medicaid	Issuer Unlisted Georgia
ID P00658166	Description Other	Issuer RAILROAD MEDICARE Georgia

Gregory Blair Stringfellow

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Shirley, Steve

Wulfeck, Dennis W

Rodriguez, Francisco J

Gratz, Brett I

Irizarry, Rafael L

Thirumala, Krishna D

Gesner, Douglas E

Davila, Jesse A

Schemmel, Derek J

West, Jeffrey H