Dr Jesse Seth Greenblum, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fernandina Beach, Florida. He went to New York Medical College and graduated in 1980 and has 44 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Halifax Healthcare Systems Inc and his current practice location is
1411 S 14th St, Suite B, Fernandina Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 261-5605.
Dr Jesse Seth Greenblum is licensed to practice in Florida (license number ME45241) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265547103.
Physician's Profile
| Full Name | Dr Jesse Seth Greenblum |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 44 Years |
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| Location | 1411 S 14th St, Fernandina Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jesse Seth Greenblum attended and graduated from New York Medical College in 1980
NPI Data:
- NPI Number: 1265547103
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1456332857
- Enrollment ID: I20040601000012
Medical Identifiers
Medical identifiers for Dr Jesse Seth Greenblum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265547103 | NPI | - | NPPES |
| 00395117A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | ME45241 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Halifax Healthcare Systems Inc | 1254238090 | 283 |
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 Jesse Seth Greenblum allows following entities to bill medicare on his behalf.
| Entity Name | Halifax Healthcare Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443 |
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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 Jesse Seth Greenblum 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 Address | Practice Location Address |
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Dr Jesse Seth Greenblum, MD
1411 S 14th St, Suite B,
Fernandina Beach, FL 32034-3031
Ph: (904) 261-5605 | Dr Jesse Seth Greenblum, MD
1411 S 14th St, Suite B,
Fernandina Beach, FL 32034-3031
Ph: (904) 261-5605 |
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