Elyssa Blissenbach, MD PA | |
2065 Herschel St, Jacksonville, FL 32204-3817 | |
(904) 387-4050 | |
(904) 387-4860 |
Full Name | Elyssa Blissenbach |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 2065 Herschel St, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881601714 | NPI | - | NPPES |
252461900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0069426 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Florida First Care Inc | Orange park, FL | Home health agency |
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Ed Fraser Memorial Hospital | Macclenny, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
N E Florida Internal Medicine Pa | 6406947167 | 3 |
Entity Name | N E Florida Internal Medicine Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487724993 PECOS PAC ID: 6406947167 Enrollment ID: O20070809000383 |
Mailing Address | Practice Location Address |
---|---|
Elyssa Blissenbach, MD PA 2065 Herschel St, Jacksonville, FL 32204-3817 Ph: (904) 387-4050 | Elyssa Blissenbach, MD PA 2065 Herschel St, Jacksonville, FL 32204-3817 Ph: (904) 387-4050 |
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 |