Dr Judella Edwina Haddad-lacle, MD in Jacksonville, FL

Dr Judella Edwina Haddad-lacle, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Millennium Physician Group Llc and her current practice location is 2377 Dunn Ave, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 648-8090.

Dr Judella Edwina Haddad-lacle is licensed to practice in Florida (license number ME60841) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851351050.

Contact Information

	Dr Judella Edwina Haddad-lacle, MD
	2377 Dunn Ave, Jacksonville, FL 32218-6983
	(904) 648-8090
	(904) 648-8089

Map and Direction

Physician's Profile

Full Name	Dr Judella Edwina Haddad-lacle
Gender	Female
Speciality	Family Practice
Experience	36 Years
Location	2377 Dunn Ave, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Judella Edwina Haddad-lacle graduated from medical school in 1988

NPI Data:

NPI Number: 1851351050
Provider Enumeration Date: 03/23/2006
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9739134735
Enrollment ID: I20050312000050

Medical Identifiers

Medical identifiers for Dr Judella Edwina Haddad-lacle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851351050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME60841 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Millennium Physician Group Llc	9830244433	789

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 Judella Edwina Haddad-lacle allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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 Judella Edwina Haddad-lacle 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
Dr Judella Edwina Haddad-lacle, MD 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Dr Judella Edwina Haddad-lacle, MD 2377 Dunn Ave, Jacksonville, FL 32218-6983 Ph: (904) 648-8090

Reviews and Comments

Family Medicine Doctors in Jacksonville, FL

Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846

Dr Judella Edwina Haddad-lacle, MD - Medicare Family Practice in Jacksonville, FL