Physical Healthcare Of Jacksonville Inc - Medicare in Jacksonville, FL

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Physical Healthcare Of Jacksonville Inc is a medicare enrolled "Internal Medicine" provider in Jacksonville, Florida. Their current practice location is 12620 Beach Blvd, Suite 6, Jacksonville, Florida. You can reach out to their office (for appointments etc.) via phone at (904) 645-0777.

Physical Healthcare Of Jacksonville Inc is licensed to practice in Florida (license number ME55161) and it also participates in the medicare program. Physical Healthcare Of Jacksonville Inc 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 1760722011.

Contact Information

Physical Healthcare Of Jacksonville Inc
12620 Beach Blvd, Suite 6,
Jacksonville, FL 32246-7131
(904) 645-0777
(904) 645-3483

Map and Direction




Healthcare Provider's Profile

Full NamePhysical Healthcare Of Jacksonville Inc
TypeFacility
SpecialityInternal Medicine
Location12620 Beach Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760722011
  • Provider Enumeration Date: 02/25/2013
  • Last Update Date: 04/18/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9234376690
  • Enrollment ID: O20130604000286

Medical Identifiers

Medical identifiers for Physical Healthcare Of Jacksonville Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760722011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CH6451 (Florida)Secondary
111N00000XChiropractor CH6588 (Florida)Secondary
111N00000XChiropractor CH4435 (Florida)Secondary
207R00000XInternal Medicine ME55161 (Florida)Primary
208100000XPhysical Medicine & Rehabilitation ME0060908 (Florida)Secondary
225100000XPhysical Therapist PT30658 (Florida)Secondary
332B00000XDurable Medical Equipment & Medical Supplies ME0060908 (Florida)Secondary
332B00000XDurable Medical Equipment & Medical Supplies ME55161 (Florida)Secondary
363AM0700XPhysician Assistant - Medical PA9106788 (Florida)Secondary
363LF0000XNurse Practitioner - Family ARNP 770742 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physical Healthcare Of Jacksonville Inc acts as a billing entity for following providers:
Provider NameMark A Pierce
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1962448209
PECOS PAC ID: 2860529377
Enrollment ID: I20101215001076
Provider NameMatthew Dean Pierce
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1639182264
PECOS PAC ID: 2668547324
Enrollment ID: I20120109000772
Provider NameMarc B Blatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861498131
PECOS PAC ID: 6305003427
Enrollment ID: I20120201000457
Provider NameCarneisha Latoya Myles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427590470
PECOS PAC ID: 1759663156
Enrollment ID: I20170119001699
Provider NameAlexis Aulisio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720326572
PECOS PAC ID: 6608012026
Enrollment ID: I20180209000165
Provider NameRebecca E Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346633393
PECOS PAC ID: 9335449107
Enrollment ID: I20200205002177
Provider NameAlexandra Erin Hatcher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588206684
PECOS PAC ID: 5698101756
Enrollment ID: I20200207002486
Provider NameShannon Elisa Young
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033481338
PECOS PAC ID: 2365879434
Enrollment ID: I20200302001673
Provider NameKyle Sebastian Jackson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1669085718
PECOS PAC ID: 5294154738
Enrollment ID: I20201001002214
Provider NameMelanie Np Bautista
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831739887
PECOS PAC ID: 6608287958
Enrollment ID: I20201118001295
Provider NameJanice Valerio Miciano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093352809
PECOS PAC ID: 8628482965
Enrollment ID: I20210128001670
Provider NameAlexandria Darles Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639877848
PECOS PAC ID: 5597120030
Enrollment ID: I20230505000240
Provider NameMolly Michelle White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275211856
PECOS PAC ID: 1254786452
Enrollment ID: I20231009000172

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. Physical Healthcare Of Jacksonville Inc 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
Physical Healthcare Of Jacksonville Inc
12620 Beach Blvd, Suite 6,
Jacksonville, FL 32246-7131

Ph: (904) 645-0777		Physical Healthcare Of Jacksonville Inc
12620 Beach Blvd, Suite 6,
Jacksonville, FL 32246-7131

Ph: (904) 645-0777

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).

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