Careconnectmd Florida P.a. - Medicare Primary Care in Jacksonville, FL

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Careconnectmd Florida P.a. is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Jacksonville, Florida. The current practice location for Careconnectmd Florida P.a. is 10151 Deerwood Park Blvd Ste 250, Jacksonville, Florida. For appointments, you can reach them via phone at (888) 789-9585. The mailing address for Careconnectmd Florida P.a. is 3090 Bristol St Ste 200, Costa Mesa, California and phone number is (887) 899-5858.

Careconnectmd Florida P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912632886. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 789-9585.

Contact Information

Careconnectmd Florida P.a.
10151 Deerwood Park Blvd Ste 250
Jacksonville
FL 32256-0566
(888) 789-9585
(562) 803-4500

Map and Direction


Primary Care Clinic Profile

Full NameCareconnectmd Florida P.a.
SpecialityInternal Medicine
Location10151 Deerwood Park Blvd Ste 250, Jacksonville, Florida
Authorized Official Name and PositionOrlando Collado (OWNER)
Authorized Official Contact8887899585
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Careconnectmd Florida P.a.
3090 Bristol St Ste 200
Costa Mesa
CA 92626-3061

Ph: (887) 899-5858		Careconnectmd Florida P.a.
10151 Deerwood Park Blvd Ste 250
Jacksonville
FL 32256-0566

Ph: (888) 789-9585

NPI Details:

NPI Number1912632886
Provider Enumeration Date07/23/2022
Last Update Date08/02/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7911389838
Medicare Enrollment IDO20220809000521

Medical Identifiers

Medical identifiers for Careconnectmd Florida P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912632886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Careconnectmd Florida P.a. acts as a billing entity for following providers:
Provider NameLaurence M Petty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265655757
PECOS PAC ID: 7012818644
Enrollment ID: I20040116000631
Provider NameCollette Palmisano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528174216
PECOS PAC ID: 7719970953
Enrollment ID: I20040405001238
Provider NameMarc S Berger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861596058
PECOS PAC ID: 4981685005
Enrollment ID: I20040525001709
Provider NameJill Marie Marshall Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205877560
PECOS PAC ID: 2466408844
Enrollment ID: I20050330000118
Provider NameAngela T Dowding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982635629
PECOS PAC ID: 5597861948
Enrollment ID: I20070502000233
Provider NameSandra P Kloman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811181985
PECOS PAC ID: 9234290198
Enrollment ID: I20081210000521
Provider NamePeter Arthur Radice
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356339170
PECOS PAC ID: 4486790011
Enrollment ID: I20091012000403
Provider NameCharles Livingston Suggs
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1497710172
PECOS PAC ID: 5092853101
Enrollment ID: I20091110000733
Provider NameSunit Srivastava
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881889467
PECOS PAC ID: 6507998846
Enrollment ID: I20100721000864
Provider NameCynthia L Titus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801003058
PECOS PAC ID: 9638260086
Enrollment ID: I20110106000599
Provider NameLeigh A Tesar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356645972
PECOS PAC ID: 3870773138
Enrollment ID: I20110203001089
Provider NameAdrianne M Ridley Payne
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1235355074
PECOS PAC ID: 4284872722
Enrollment ID: I20130523000160
Provider NameLeonne Moient Deravine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245678119
PECOS PAC ID: 5193967545
Enrollment ID: I20130814000261
Provider NameViktoriya Rakita
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740613850
PECOS PAC ID: 7214170554
Enrollment ID: I20130905000442
Provider NameMisty J Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396773917
PECOS PAC ID: 2961458112
Enrollment ID: I20140124000832
Provider NameVictor D Cruz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861622060
PECOS PAC ID: 8527297381
Enrollment ID: I20140128000725
Provider NameEsther M Avellar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881015519
PECOS PAC ID: 9537398722
Enrollment ID: I20140211000709
Provider NameRomeo Saliba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952675811
PECOS PAC ID: 2961728670
Enrollment ID: I20150223001792
Provider NameMaryana Henson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417331273
PECOS PAC ID: 1153638606
Enrollment ID: I20150915002973
Provider NameLeanne Kristen Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487020715
PECOS PAC ID: 0042527160
Enrollment ID: I20150922000583
Provider NameJennifer R Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609245950
PECOS PAC ID: 2365743747
Enrollment ID: I20151209002727
Provider NameTerra Kater
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144778929
PECOS PAC ID: 8325326366
Enrollment ID: I20161026002407
Provider NameBrent J Lataille
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598202814
PECOS PAC ID: 2365726320
Enrollment ID: I20170313000270
Provider NameNatalie M Guerrini
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669879466
PECOS PAC ID: 8527336734
Enrollment ID: I20170612002583
Provider NameMarilyn Bellamy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891241535
PECOS PAC ID: 7517236615
Enrollment ID: I20170705002873
Provider NameRobert B Duffield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720529282
PECOS PAC ID: 4082984463
Enrollment ID: I20170718000348
Provider NameCheryl L Bonacquisti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114450483
PECOS PAC ID: 1355615345
Enrollment ID: I20170914000248
Provider NameChristopher R Denapoles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578973715
PECOS PAC ID: 0244596302
Enrollment ID: I20171107001100
Provider NameKathryn E Lataille
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891232823
PECOS PAC ID: 4486915097
Enrollment ID: I20180222001240
Provider NameFelecia Maria Sanchious
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326548686
PECOS PAC ID: 7113281338
Enrollment ID: I20180515002801
Provider NameLydia A Hartney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093934093
PECOS PAC ID: 7214151273
Enrollment ID: I20180806000143
Provider NameTammy Lin Hieber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720599046
PECOS PAC ID: 3476898016
Enrollment ID: I20181228002496
Provider NameMarcella A Caro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124529094
PECOS PAC ID: 2961747514
Enrollment ID: I20181231000523
Provider NameMark Felix Roldan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104308329
PECOS PAC ID: 1850639121
Enrollment ID: I20190212000831
Provider NameLeeanne Jessica Odum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659844306
PECOS PAC ID: 1951640986
Enrollment ID: I20190308000710
Provider NameSreyboth Sreng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972068153
PECOS PAC ID: 9436499183
Enrollment ID: I20190318000527
Provider NameShannon L Coleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326504374
PECOS PAC ID: 3072856095
Enrollment ID: I20190515000588
Provider NameSharee D Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598277824
PECOS PAC ID: 6305179516
Enrollment ID: I20190603002216
Provider NameBrian A Field
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013180090
PECOS PAC ID: 0547331381
Enrollment ID: I20191226000967
Provider NameAmber Nicole Russo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154979839
PECOS PAC ID: 2264866284
Enrollment ID: I20191230001111
Provider NameKristina Ann Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649817503
PECOS PAC ID: 1456786383
Enrollment ID: I20200122002211
Provider NameLori Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548708282
PECOS PAC ID: 8123454758
Enrollment ID: I20200130000912
Provider NameMoya Durden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417519950
PECOS PAC ID: 3678909983
Enrollment ID: I20200205001219
Provider NameEdgar J Cruz Crispin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497212799
PECOS PAC ID: 9830527068
Enrollment ID: I20200321000003
Provider NameJermece Watts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376182485
PECOS PAC ID: 8527497684
Enrollment ID: I20200411000565
Provider NameCory Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144868753
PECOS PAC ID: 3375967607
Enrollment ID: I20200721000388
Provider NameJanna S Paulk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639760143
PECOS PAC ID: 5395150015
Enrollment ID: I20210210001942
Provider NameKrystal R Parmar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245705318
PECOS PAC ID: 0244584670
Enrollment ID: I20210329001583
Provider NameSuzanne Marie Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306422340
PECOS PAC ID: 0547678708
Enrollment ID: I20210428001039
Provider NameFelisha Renise King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316530637
PECOS PAC ID: 3072916063
Enrollment ID: I20210728003151
Provider NameStacie Dolores Malyszko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306519731
PECOS PAC ID: 6103221163
Enrollment ID: I20210830001162
Provider NameCameika Odelvez Shepherd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245995992
PECOS PAC ID: 5890188353
Enrollment ID: I20220203002648
Provider NameKelli Monnin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003573072
PECOS PAC ID: 0749675775
Enrollment ID: I20220309002584
Provider NameElizabeth Lauren Mackenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841841558
PECOS PAC ID: 3678993516
Enrollment ID: I20220309003295
Provider NameGregory B Pollock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699434605
PECOS PAC ID: 6204221849
Enrollment ID: I20220318000415
Provider NameDiana Heskin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255832424
PECOS PAC ID: 7416210406
Enrollment ID: I20220418001814
Provider NameHeather M Bruneau
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376770727
PECOS PAC ID: 4587815246
Enrollment ID: I20220422000411
Provider NameRosemary Castoreno
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225135957
PECOS PAC ID: 8921009697
Enrollment ID: I20220506000296
Provider NameBonita J Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639686363
PECOS PAC ID: 1153708151
Enrollment ID: I20220512001980
Provider NameSergio Enrique Pedraza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366185241
PECOS PAC ID: 1153708870
Enrollment ID: I20220519000407
Provider NameOrlando Collado
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1205964947
PECOS PAC ID: 8820143134
Enrollment ID: I20220809000619
Provider NameBrandy Babin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407585847
PECOS PAC ID: 7618359506
Enrollment ID: I20220809003441
Provider NameNorma Thermidor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710622287
PECOS PAC ID: 2769859487
Enrollment ID: I20221109000025
Provider NameAshley Rinus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174259857
PECOS PAC ID: 1355719832
Enrollment ID: I20221115002719
Provider NameTywanna Jaye Montgomery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164147187
PECOS PAC ID: 5890163471
Enrollment ID: I20221202000474
Provider NameKristal Jennell Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184168874
PECOS PAC ID: 5597138818
Enrollment ID: I20230307000498
Provider NameNylin Prudent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710699319
PECOS PAC ID: 1254796105
Enrollment ID: I20230427001038
Provider NameEden G Chaney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942916150
PECOS PAC ID: 6800252255
Enrollment ID: I20230510001271
Provider NameBarbara Simeon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013491711
PECOS PAC ID: 7618335407
Enrollment ID: I20230627001744
Provider NameZaina Mussa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295451904
PECOS PAC ID: 5799145504
Enrollment ID: I20230712000953
Provider NamePatricia De Lima
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588105985
PECOS PAC ID: 4183962806
Enrollment ID: I20230915002474
Provider NameSummer Kay Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386313039
PECOS PAC ID: 4385032028
Enrollment ID: I20231013001763
Provider NameDesiree Mones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518643311
PECOS PAC ID: 0941656136
Enrollment ID: I20231024003166
Provider NameChelsea Marie Hughes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487281697
PECOS PAC ID: 9739536764
Enrollment ID: I20231113001062
Provider NameLudonir Sebastiany
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104485606
PECOS PAC ID: 1456735380
Enrollment ID: I20231229001153
Provider NameThalia Rives
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992566723
PECOS PAC ID: 7618310756
Enrollment ID: I20240206002893
Provider NameKatia Rancol Borrero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487415956
PECOS PAC ID: 6103260591
Enrollment ID: I20240213003740
Provider NameElimerys Mora Machado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427828599
PECOS PAC ID: 9335585876
Enrollment ID: I20240307000541
Provider NameLawanda Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992588909
PECOS PAC ID: 8628416971
Enrollment ID: I20240404003309
Provider NameYoandris Igarza Oconor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679324784
PECOS PAC ID: 8022457597
Enrollment ID: I20240416004188
Provider NameYandra Alayo Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134980691
PECOS PAC ID: 1557700713
Enrollment ID: I20240419003111
Provider NameKamala Rajyalakshmi Madidi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235996604
PECOS PAC ID: 6002358256
Enrollment ID: I20240604001403
Provider NameDarshan Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720665631
PECOS PAC ID: 9931643293
Enrollment ID: I20240627004136
Provider NameLoraine Terese Gabbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093564759
PECOS PAC ID: 0345786232
Enrollment ID: I20240727000618
Provider NameJunell C Koberlein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982868865
PECOS PAC ID: 9234301193
Enrollment ID: I20240801004478
Provider NameSummer Hearn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982489977
PECOS PAC ID: 8628516564
Enrollment ID: I20240809003556
Provider NameCheryl Thomas-harcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356461289
PECOS PAC ID: 2769791193
Enrollment ID: I20240911001895
Provider NameKelsey Nicole Piper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578332789
PECOS PAC ID: 2466984588
Enrollment ID: I20241015000575
Provider NameArlyn Olivo Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619714235
PECOS PAC ID: 6406388024
Enrollment ID: I20241021000746
Provider NameLing Li
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396988416
PECOS PAC ID: 7214185826
Enrollment ID: I20241111003855

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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.