Dr Matthew Todd Braddock, DO - Medicare Family Practice in Jacksonville, FL

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Dr Matthew Todd Braddock, DO is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Baptist Primary Care Inc and his current practice location is 810 Lane Ave S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 783-9680.

Dr Matthew Todd Braddock is licensed to practice in Florida (license number OS11091) 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 1417180886.

Contact Information

Dr Matthew Todd Braddock, DO
810 Lane Ave S,
Jacksonville, FL 32205-4785
(904) 783-9680
(904) 693-0138

Map and Direction




Physician's Profile

Full NameDr Matthew Todd Braddock
GenderMale
SpecialityFamily Practice
Experience15 Years
Location810 Lane Ave S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Matthew Todd Braddock graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1417180886
  • Provider Enumeration Date: 09/01/2009
  • Last Update Date: 12/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8224284922
  • Enrollment ID: I20120813000457

Medical Identifiers

Medical identifiers for Dr Matthew Todd Braddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417180886NPI-NPPES
P01085486OtherFLRAILROAD MEDICARE
P01627926OtherFLRR MEDICARE
005982200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS11091 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Ed Fraser Memorial HospitalMacclenny, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Primary Care Inc0648177733405

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 Matthew Todd Braddock allows following entities to bill medicare on his behalf.
Entity NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248
Entity NameInpatient Consultants Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameSt Vincents Physician Enterprise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878486
PECOS PAC ID: 2668664962
Enrollment ID: O20101005000809

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 Matthew Todd Braddock 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 AddressPractice Location Address
Dr Matthew Todd Braddock, DO
Po Box 45443,
Salt Lake City, UT 84145-0443

Ph: (904) 202-1032		Dr Matthew Todd Braddock, DO
810 Lane Ave S,
Jacksonville, FL 32205-4785

Ph: (904) 783-9680

Reviews and Comments


Family Medicine Doctors in Jacksonville, FL

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Timothy Davlantes, MD
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Dr. Terry Dale Hashey, D.O.
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Dr. Christopher Patrick Carroll, MD
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Phone: 904-202-3860    Fax: 904-202-3846

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.