- Medicare in Jacksonville, FL

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is a medicare enrolled "Nurse Practitioner" provider in Jacksonville, Florida. Their current practice location is 12187 Beach Blvd Ste 1, Jacksonville, Florida. You can reach out to their office (for appointments etc.) via phone at (904) 854-9353.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700964012.

Contact Information

12187 Beach Blvd Ste 1,
Jacksonville, FL 32246-0620
(904) 854-9353
(904) 212-2727

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityNurse Practitioner
Location12187 Beach Blvd Ste 1, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700964012
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 02/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860718368
  • Enrollment ID: O20150227000755

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700964012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
111NN0400XChiropractor - Neurology (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSebastian T Castelli
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1831295187
PECOS PAC ID: 7618911157
Enrollment ID: I20050615000287
Provider NameGregory Mcnamara
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1720051832
PECOS PAC ID: 5496796799
Enrollment ID: I20080725000654
Provider NameKim St Clair Seals
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215486055
PECOS PAC ID: 6800209842
Enrollment ID: I20210111002979
Provider NameTheresa Lynn Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801679808
PECOS PAC ID: 6709226079
Enrollment ID: I20240503000513

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. 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

12187 Beach Blvd Ste 1,
Jacksonville, FL 32246-0620

Ph: (904) 854-9353
12187 Beach Blvd Ste 1,
Jacksonville, FL 32246-0620

Ph: (904) 854-9353

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.