Dr Audrey M Wooten, MD - Medicare Family Medicine in Jacksonville, FL

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Dr Audrey M Wooten, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. Her current practice location is 120 King St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 760-4904.

Dr Audrey M Wooten is licensed to practice in Florida (license number ME81284) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962466805.

Contact Information

Dr Audrey M Wooten, MD
120 King St,
Jacksonville, FL 32204-2410
(904) 760-4904
Not Available

Map and Direction




Physician's Profile

Full NameDr Audrey M Wooten
GenderFemale
SpecialityFamily Medicine
Location120 King St, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962466805
  • Provider Enumeration Date: 04/17/2006
  • Last Update Date: 06/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860590148
  • Enrollment ID: I20070611000293

Medical Identifiers

Medical identifiers for Dr Audrey M Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962466805NPI-NPPES
260472800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME81284 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Audrey M Wooten allows following entities to bill medicare on her behalf.
Entity NameAgape Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962867762
PECOS PAC ID: 3476500695
Enrollment ID: O20050331000177
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430

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 Audrey M Wooten 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 Audrey M Wooten, MD
4205 Belfort Rd Ste 4015,
Jacksonville, FL 32216-3623

Ph: () -		Dr Audrey M Wooten, MD
120 King St,
Jacksonville, FL 32204-2410

Ph: (904) 760-4904

Reviews and Comments


Family Medicine Doctors in Jacksonville, FL

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Dr. Christopher Patrick Carroll, MD
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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.