Kerry Mark Bachista, MD - Medicare Emergency Medicine in Jacksonville, FL

Kerry Mark Bachista, MD is a medicare enrolled "Emergency Medicine" physician in Jacksonville, Florida. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mayo Clinic - Florida, University Of Florida Jacksonville Physicians, Inc. and his current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 953-2000.

Kerry Mark Bachista is licensed to practice in Florida (license number ME101449) 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 1891845798.

Contact Information

Kerry Mark Bachista, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available

Map and Direction




Physician's Profile

Full NameKerry Mark Bachista
GenderMale
SpecialityEmergency Medicine
Experience19 Years
Location4500 San Pablo Rd 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:
  • Kerry Mark Bachista graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1891845798
  • Provider Enumeration Date: 01/11/2007
  • Last Update Date: 11/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769557446
  • Enrollment ID: I20081006000225

Medical Identifiers

Medical identifiers for Kerry Mark Bachista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891845798NPI-NPPES
2813769-00MedicaidFL
41057OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME101449 (Florida)Primary
207P00000XEmergency Medicine 60790 (Georgia)Secondary
207P00000XEmergency Medicine TRN9208 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic FloridaJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic - Florida56986892971328
University Of Florida Jacksonville Physicians, Inc.9133025869665

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. Kerry Mark Bachista allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326208695
PECOS PAC ID: 9133025869
Enrollment ID: O20040204000616

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. Kerry Mark Bachista 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
Kerry Mark Bachista, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000
Kerry Mark Bachista, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

Reviews and Comments


Emergency Medicine Doctors in Jacksonville, FL

Andrew Lim, M.D.
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Phone: 904-253-3734    
Jennifer L. Mauzy, MD
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Phone: 904-296-3885    
Max T Billingsley, MD
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Practice Location: 1 Shircliff Way, Emergency Department, Jacksonville, FL 32204
Phone: 904-346-5426    Fax: 904-346-0113
Kenneth Aung-din, MD
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Medicare: Medicare Enrolled
Practice Location: 3625 University Blvd S, Jacksonville, FL 32216
Phone: 904-399-6811    Fax: 904-346-0113
Hannah Thomason Fox, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Daniel R Eraso, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 655 W 8th St, Jacksonville, FL 32209
Phone: 904-244-6340    Fax: 904-244-4508
Paul D Lucey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Shircliff Way, Jacksonville, FL 32204
Phone: 904-308-7300    Fax: 904-346-0113

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.