Rachael C Evans, DO | |
3200 3rd St S, Jacksonville Beach, FL 32250-6096 | |
(904) 450-7050 | |
(904) 450-7059 |
Full Name | Rachael C Evans |
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Gender | Female |
Speciality | Pediatrics |
Location | 3200 3rd St S, Jacksonville Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225479983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | UO3605 (Florida) | Secondary |
208000000X | Pediatrics | 60736 (Minnesota) | Secondary |
208000000X | Pediatrics | OS16064 (Florida) | Primary |
Entity Name | St Vincent's Ambulatory Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Rachael C Evans, DO 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6017 | Rachael C Evans, DO 3200 3rd St S, Jacksonville Beach, FL 32250-6096 Ph: (904) 450-7050 |
Dr. Rebecca Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 333 4th Ave N, Jacksonville Beach, FL 32250 Phone: 904-246-8684 Fax: 904-246-6878 | |
Dana Rachael Eyerly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 950 Marsh Landing Pkwy Ste 105a, Jacksonville Beach, FL 32250 Phone: 904-280-1225 Fax: 904-390-7505 | |
Ms. Laura Nance Beverly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1522 Penman Rd., Jacksonville Beach, FL 32250 Phone: 904-253-2555 Fax: 904-270-2559 | |
Barbara O'reilly, M.D., P.A. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1370 13th Ave S, Ste. 216, Jacksonville Beach, FL 32250 Phone: 904-246-8480 Fax: 904-246-8578 | |
Dr. Pauline J Rolle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 3rd St S Ste 101, Jacksonville Beach, FL 32250 Phone: 904-450-7050 Fax: 904-450-7059 | |
Raed Assar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1923 Eastern Dr, Jacksonville Beach, FL 32250 Phone: 904-242-0899 |