Mario Cisneros, | |
653 W 8th St # L18, Jacksonville, FL 32209-6511 | |
(904) 244-3907 | |
Not Available |
Full Name | Mario Cisneros |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 9 Years |
Location | 653 W 8th St # L18, 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 |
---|---|---|---|
1831584473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 70064 (Minnesota) | Primary |
208M00000X | Hospitalist | OS15211 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
St Josephs Medical Center | 8224948443 | 214 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | St Josephs Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
Mailing Address | Practice Location Address |
---|---|
Mario Cisneros, Ssb-6, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Mario Cisneros, 653 W 8th St # L18, Jacksonville, FL 32209-6511 Ph: (904) 244-3907 |
Ricardo Pagan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Zelia Yanique Archibald, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3850 Fax: 904-244-4799 | |
Dr. Vera Utagah Abaaba, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Dr. Christopher Barusya, MBCHB Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shahbaz Yousaf, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Memorial Hospitalist, Jacksonville, FL 32216 Phone: 786-399-9700 | |
Ebone Danielle Hill, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Joshua S Elder, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |