Dr Kenneth Rodney Prince, DO | |
524 Skymarks Dr, Suite 1, Jacksonville, FL 32218-7254 | |
(904) 696-7333 | |
(904) 696-1926 |
Full Name | Dr Kenneth Rodney Prince |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 524 Skymarks Dr, 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 |
---|---|---|---|
1598991184 | NPI | - | NPPES |
P01666432 | Other | FL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS12449 (Florida) | Secondary |
207R00000X | Internal Medicine | DO2023-1086 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
University Of New Mexico Hospital | Albuquerque, NM | Hospital |
Plains Regional Medical Center | Clovis, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Primary Care Inc | 0648177733 | 405 |
Emergency Physicians Inc | 7911811435 | 68 |
Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 889 |
Entity Name | Baptist Primary Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
Entity Name | Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Rodney Prince, DO Po Box 45443, Salt Lake City, UT 84145-0443 Ph: (904) 202-1032 | Dr Kenneth Rodney Prince, DO 524 Skymarks Dr, Suite 1, Jacksonville, FL 32218-7254 Ph: (904) 696-7333 |
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 |