Dr Jose C Yataco, MD | |
2 Shircliff Way Bldg Ste 435, Jacksonville, FL 32204-4753 | |
(904) 308-6900 | |
(904) 308-6927 |
Full Name | Dr Jose C Yataco |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 26 Years |
Location | 2 Shircliff Way Bldg Ste 435, 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 |
---|---|---|---|
1346299104 | NPI | - | NPPES |
004504000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 40977 (Tennessee) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | ME91430 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose C Yataco, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Dr Jose C Yataco, MD 2 Shircliff Way Bldg Ste 435, Jacksonville, FL 32204-4753 Ph: (904) 308-6900 |
Dr. Jami Ann Rothe Kinnucan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Pulmonary Disease 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 Pulmonary Disease 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. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |