Mark T Gould, MD | |
1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 | |
(904) 241-1204 | |
(904) 241-7331 |
Full Name | Mark T Gould |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 29 Years |
Location | 1577 Roberts Dr Ste 225, Jacksonville Beach, 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 |
---|---|---|---|
1942349949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | ME131538 (Florida) | Secondary |
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | ME131538 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Golden Heart Home Health Care | Orange park, FL | Home health agency |
Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jacksonville Orthopaedic Institute Inc | 5193625499 | 109 |
Entity Name | Jacksonville Orthopaedic Institute Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346298023 PECOS PAC ID: 5193625499 Enrollment ID: O20040112000400 |
Entity Name | Hughston Orthopaedic Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568914026 PECOS PAC ID: 3274819644 Enrollment ID: O20170605002904 |
Mailing Address | Practice Location Address |
---|---|
Mark T Gould, MD Po Box 117345, Atlanta, GA 30368-7345 Ph: (904) 346-3465 | Mark T Gould, MD 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 Ph: (904) 241-1204 |
Edward D. Young, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1577 Roberts Dr, Suite 225, Jacksonville Beach, FL 32250 Phone: 904-241-1204 Fax: 904-241-7331 | |
Mr. Khosrow Maleki, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 917 1st St N, Unit 701, Jacksonville Beach, FL 32250 Phone: 904-687-5179 | |
Dr. Steven J. Lancaster, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1577 Roberts Dr, Suite 225 & 226, Jacksonville Beach, FL 32250 Phone: 904-241-1204 Fax: 904-241-7331 | |
Dr. Timothy R Hastings, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1557 Roberts Dr Ste 225, Credentialing Department, Jacksonville Beach, FL 32250 Phone: 904-241-1204 Fax: 904-241-7331 | |
Milton John Vonthron, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1577 Roberts Dr Ste 225, Credentialing Department, Jacksonville Beach, FL 32250 Phone: 904-241-1204 Fax: 904-241-7331 | |
Dr. Kamal I Bohsali, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1577 Roberts Dr, Suite 225, Jacksonville Beach, FL 32250 Phone: 904-241-1204 Fax: 904-241-7331 | |
Robert David Graham, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250 Phone: 904-241-1204 Fax: 904-241-7331 |