Mr Ethan Jacob Wajswol, MD (5/18/2020) in Jacksonville, FL

Mr Ethan Jacob Wajswol, MD (5/18/2020) is a medicare enrolled "Urology" physician in Jacksonville, Florida. 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.

Mr Ethan Jacob Wajswol is licensed to practice in Florida (license number ME153288) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366076945.

Contact Information

	Mr Ethan Jacob Wajswol, MD (5/18/2020)
	4500 San Pablo Rd S, Jacksonville, FL 32224-1865
	(904) 953-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Ethan Jacob Wajswol
Gender	Male
Speciality	Urology
Location	4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366076945
Provider Enumeration Date: 02/24/2020
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2466875133
Enrollment ID: I20200714001389

Medical Identifiers

Medical identifiers for Mr Ethan Jacob Wajswol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366076945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	ME153288 (Florida)	Primary

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. Mr Ethan Jacob Wajswol 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 Address	Practice Location Address
Mr Ethan Jacob Wajswol, MD (5/18/2020) 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000	Mr Ethan Jacob Wajswol, MD (5/18/2020) 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000

Reviews and Comments

Urology Doctors in Jacksonville, FL

Amanda Elizabeth Kahn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Eric Alee Vance Qualkenbush, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Daniela Andrea Haehn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922
Gregory Broderick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Mr Ethan Jacob Wajswol, MD (5/18/2020) - Medicare Urology in Jacksonville, FL