Vahide M Dogan-Bag, M.D.
Individual provider Active NPI Family Medicine Physician · Jacksonville, FL
NPI 1245489244 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1245489244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME160031 (FL)
- Practice address
- 1220 University Blvd N
Jacksonville, FL 32211-8852 - Phone
- (904) 490-8700
- Fax
- (904) 490-9810
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dedicated Senior Medical Center of Florida, LLC
Practice addresses (Care Compare)
1220 University Blvd N
Jacksonville, FL 32211-8852
Phone (904) 490-8700
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230119003177 | FL | Practitioner - Family Practice | 4385015882 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current |
Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current |
Accepting new patients |
Locations
1220 University Blvd N
Jacksonville, FL 32211
Phone (904) 490-8700
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME160031 | FL | Yes |
Addresses
Primary practice location
1220 University Blvd N
Jacksonville, FL 32211-8852
Mailing address
1220 University Blvd N
Jacksonville, FL 32211-8852
Phone (904) 490-8700
Other names
- Dr. Vahide M Meric
Other providers in Jacksonville, FL
- Brittany Paige Dodson
- Patrick Russell Dodson
- Kyle Riley Doerger
- Charles Doerner
- Ashley Danielle Doerr
- Aisha Lynette Doggette
- Doh Bureau of Laboratories
- Alex Doherty
- Rhiannon Rae Doherty
- Susannah C Doherty
All providers in Jacksonville, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.