Daniel S Tismal, MD | |
820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | |
(904) 202-3860 | |
(904) 202-3846 |
Full Name | Daniel S Tismal |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 820 Prudential Dr Ste 304, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477867174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301097214 (Michigan) | Secondary |
207R00000X | Internal Medicine | ME149085 (Florida) | Secondary |
208M00000X | Hospitalist | ME149085 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Primary Care Inc | 0648177733 | 405 |
Entity Name | Baptist Primary Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
Entity Name | Inpatient Consultants Of Florida, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
Mailing Address | Practice Location Address |
---|---|
Daniel S Tismal, MD Po Box 45443, Salt Lake City, UT 84145-0443 Ph: (904) 202-1032 | Daniel S Tismal, MD 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 Ph: (904) 202-3860 |
Ricardo Pagan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Zelia Yanique Archibald, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3850 Fax: 904-244-4799 | |
Dr. Vera Utagah Abaaba, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Dr. Christopher Barusya, MBCHB Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shahbaz Yousaf, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Memorial Hospitalist, Jacksonville, FL 32216 Phone: 786-399-9700 | |
Ebone Danielle Hill, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Joshua S Elder, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |