Jeremy Carlson, | |
655 W 8th St, Jacksonville, FL 32209-6511 | |
(904) 244-0411 | |
Not Available |
Full Name | Jeremy Carlson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 5 Years |
Location | 655 W 8th St, 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 |
---|---|---|---|
1932562832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 750803 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
Shands Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephrology Consultants Of Jacksonville Llc | 2769727627 | 5 |
Entity Name | Nephrology Consultants Of Jacksonville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578058939 PECOS PAC ID: 2769727627 Enrollment ID: O20181220001923 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Carlson, 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 265-4845 | Jeremy Carlson, 655 W 8th St, Jacksonville, FL 32209-6511 Ph: (904) 244-0411 |
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