Dr Chonglun Xie, MD | |
5757 Booth Rd, Suite 200, Jacksonville, FL 32207-5980 | |
(904) 636-9510 | |
(904) 636-9512 |
Full Name | Dr Chonglun Xie |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 5757 Booth Rd, 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 |
---|---|---|---|
1861457459 | NPI | - | NPPES |
7245685 | Other | FL | AETNA |
16175 | Other | FL | BCBS |
2574641 | Other | UNITED HEALTH CARE | |
27393819 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME92689 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Florida First Care Inc | Orange park, FL | Home health agency |
Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
University Crossing | Jacksonville, FL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Medicine Specialists, Inc | 1658335328 | 60 |
Lighthouse Internal Medicine And Primary Care Pa | 9234232224 | 2 |
Entity Name | Physical Medicine Specialists, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952343261 PECOS PAC ID: 1658335328 Enrollment ID: O20041113000028 |
Entity Name | Lighthouse Internal Medicine And Primary Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588742977 PECOS PAC ID: 9234232224 Enrollment ID: O20070313000010 |
Mailing Address | Practice Location Address |
---|---|
Dr Chonglun Xie, MD 5757 Booth Rd, Suite 200, Jacksonville, FL 32207-5980 Ph: (904) 636-9510 | Dr Chonglun Xie, MD 5757 Booth Rd, Suite 200, Jacksonville, FL 32207-5980 Ph: (904) 636-9510 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |