Dr Clyde Whitley Vick Iii, MD - Medicare Radiology in Jacksonville, FL

Dr Clyde Whitley Vick Iii, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jacksonville, Florida. His current practice location is 1833 Boulevard, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 232-2751.

Dr Clyde Whitley Vick Iii is licensed to practice in Georgia (license number 028094) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003976648.

Contact Information

Dr Clyde Whitley Vick Iii, MD
1833 Boulevard,
Jacksonville, FL 32206-4382
(904) 232-2751
(904) 232-2482



Physician's Profile

Full NameDr Clyde Whitley Vick Iii
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1833 Boulevard, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003976648
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 03/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466466594
  • Enrollment ID: I20120328000202

Medical Identifiers

Medical identifiers for Dr Clyde Whitley Vick Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003976648NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 028094 (Georgia)Secondary
2085N0700XRadiology - Neuroradiology 028094 (Georgia)Secondary
2085N0904XRadiology - Nuclear Radiology 028094 (Georgia)Secondary
2085P0229XRadiology - Pediatric Radiology 028094 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology 028094 (Georgia)Primary
2085R0204XRadiology - Vascular & Interventional Radiology 028094 (Georgia)Secondary
2085U0001XRadiology - Diagnostic Ultrasound 028094 (Georgia)Secondary

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 Clyde Whitley Vick Iii 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 AddressPractice Location Address
Dr Clyde Whitley Vick Iii, MD
1833 Boulevard,
Jacksonville, FL 32206-4382

Ph: (904) 232-2751
Dr Clyde Whitley Vick Iii, MD
1833 Boulevard,
Jacksonville, FL 32206-4382

Ph: (904) 232-2751

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Radiology Doctors in Jacksonville, FL

Dr. Brian Bishop Moon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216
Phone: 904-399-5550    Fax: 904-346-4334
Dr. Rishi Norman Razdan, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218
Phone: 904-353-3664    Fax: 904-353-3858
Dr. Travis Howell Edelstein, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson, Jacksonville, FL 32209
Phone: 954-775-4645    
Leo Czervionke, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Nina L Kazerooni, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256
Phone: 904-507-9318    
Beau Toskich, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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