Island Doctors Intrastate Llc - Medicare Primary Care in Saint Augustine, FL

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Island Doctors Intrastate Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Saint Augustine, Florida. The current practice location for Island Doctors Intrastate Llc is 100 Arricola Ave, Saint Augustine, Florida. For appointments, you can reach them via phone at (904) 825-4368. The mailing address for Island Doctors Intrastate Llc is 100 Arricola Ave, Saint Augustine, Florida and phone number is (904) 825-4368.

Island Doctors Intrastate Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568083889. 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 (904) 825-4368.

Contact Information

Island Doctors Intrastate Llc
100 Arricola Ave
Saint Augustine
FL 32080-4515
(904) 825-4368
(904) 825-9107

Map and Direction


Primary Care Clinic Profile

Full NameIsland Doctors Intrastate Llc
SpecialityClinic/Center
Location100 Arricola Ave, Saint Augustine, Florida
Authorized Official Name and PositionRoy H Hinman (CEO AND PRESIDENT)
Authorized Official Contact9048254368
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Island Doctors Intrastate Llc
100 Arricola Ave
Saint Augustine
FL 32080-4515

Ph: (904) 825-4368		Island Doctors Intrastate Llc
100 Arricola Ave
Saint Augustine
FL 32080-4515

Ph: (904) 825-4368

NPI Details:

NPI Number1568083889
Provider Enumeration Date04/27/2020
Last Update Date04/27/2020

Medicare PECOS Information:

Medicare PECOS PAC ID5395161186
Medicare Enrollment IDO20200811001733

Medical Identifiers

Medical identifiers for Island Doctors Intrastate Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568083889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. Island Doctors Intrastate Llc acts as a billing entity for following providers:
Provider NameJulie Formoso Onofrio
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619941069
PECOS PAC ID: 1658261961
Enrollment ID: I20040319000021
Provider NameJawad S Farhat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114034709
PECOS PAC ID: 1153315551
Enrollment ID: I20040408001606
Provider NameFrank Michael Alea
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932153525
PECOS PAC ID: 6002806320
Enrollment ID: I20040526001402
Provider NameGeorge E Sadowski
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1508830480
PECOS PAC ID: 8628030863
Enrollment ID: I20041102000438
Provider NameApril Turner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629043864
PECOS PAC ID: 8729040456
Enrollment ID: I20041103001000
Provider NameLaura E Reinertson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750408613
PECOS PAC ID: 8820047475
Enrollment ID: I20050120000752
Provider NameUriel Nazario Vidal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376557223
PECOS PAC ID: 0840230702
Enrollment ID: I20050510000640
Provider NameTammy Blankenship
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1285670216
PECOS PAC ID: 3577596832
Enrollment ID: I20050916000161
Provider NameLydia Kefalidou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508833427
PECOS PAC ID: 9335172600
Enrollment ID: I20050916000295
Provider NameYevsey M Goldberg
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1831160977
PECOS PAC ID: 5890705289
Enrollment ID: I20060501000060
Provider NameLinda A Quinn
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1437100187
PECOS PAC ID: 2062425077
Enrollment ID: I20060717000064
Provider NameGuylaine Legault
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164584140
PECOS PAC ID: 8022017144
Enrollment ID: I20061218000469
Provider NameJose A Aleman Gomez
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1740275916
PECOS PAC ID: 6305847682
Enrollment ID: I20070130000133
Provider NamePaula G Stowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891714564
PECOS PAC ID: 2163424672
Enrollment ID: I20070213000578
Provider NameRoy H Hinman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760595821
PECOS PAC ID: 6204897218
Enrollment ID: I20071003000827
Provider NameBarry F Dobies
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184648495
PECOS PAC ID: 7416033436
Enrollment ID: I20080331000277
Provider NameCharles E Lerner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548440860
PECOS PAC ID: 4385537430
Enrollment ID: I20081028000679
Provider NameGeorge Schroeder
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265530760
PECOS PAC ID: 7315913696
Enrollment ID: I20081118000879
Provider NameSharol A Patterson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124256532
PECOS PAC ID: 7315085065
Enrollment ID: I20091117000586
Provider NameZaw Myint
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225295728
PECOS PAC ID: 6507981727
Enrollment ID: I20100913000031
Provider NameBrendaliz Asencio
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1780768978
PECOS PAC ID: 2860481611
Enrollment ID: I20120821001037
Provider NameTeresa Marie Brennan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154391753
PECOS PAC ID: 5698926269
Enrollment ID: I20121107000267
Provider NameGary Enrique Morales-geraldino
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1083998090
PECOS PAC ID: 5799008967
Enrollment ID: I20141218001515
Provider NameCarlos Reyes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992909329
PECOS PAC ID: 9830327667
Enrollment ID: I20151121000046
Provider NameNancy D Ortiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477650570
PECOS PAC ID: 2062319403
Enrollment ID: I20160223001935
Provider NameMarilu Colon
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1295842862
PECOS PAC ID: 2567360878
Enrollment ID: I20160429000245
Provider NameDebra Dowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013382134
PECOS PAC ID: 2365732286
Enrollment ID: I20160606002226
Provider NameRobert A Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568514701
PECOS PAC ID: 1557398179
Enrollment ID: I20160720000190
Provider NameTeodoro Medina
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1093852113
PECOS PAC ID: 5890785463
Enrollment ID: I20160720002795
Provider NameJulie Ann Bom Conselho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356899587
PECOS PAC ID: 2062700552
Enrollment ID: I20161017001720
Provider NameCarlos Olivera Martinez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1902845423
PECOS PAC ID: 1759387046
Enrollment ID: I20161205001617
Provider NameBarry A Kusnick
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1194788117
PECOS PAC ID: 5698778983
Enrollment ID: I20171206003018
Provider NameFernando J Arzola Collazo
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1225135346
PECOS PAC ID: 1456537166
Enrollment ID: I20180123002378
Provider NameShannon Thor Pollard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548765993
PECOS PAC ID: 2769738418
Enrollment ID: I20180710003840
Provider NameLuis Marrero Abascal
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1326209073
PECOS PAC ID: 2769609510
Enrollment ID: I20180821001144
Provider NameEric Frances Thoms
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932201944
PECOS PAC ID: 5294008041
Enrollment ID: I20181029001942
Provider NameCrystal M Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053323584
PECOS PAC ID: 8426056730
Enrollment ID: I20181101002097
Provider NameYesenia E Justiniano Rosario
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1508002395
PECOS PAC ID: 0941336408
Enrollment ID: I20181203003207
Provider NameJuan Santiago
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1518930155
PECOS PAC ID: 5092051904
Enrollment ID: I20190115000956
Provider NameAlexa Wu-chavez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1457334757
PECOS PAC ID: 5991718033
Enrollment ID: I20190507000085
Provider NameBrittney Alise Walden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912469230
PECOS PAC ID: 8325372600
Enrollment ID: I20190619002764
Provider NameAlex Ramon Taveras-cruz
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1780645903
PECOS PAC ID: 4789652363
Enrollment ID: I20200211000929
Provider NameLee William Elgin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740796770
PECOS PAC ID: 8022367671
Enrollment ID: I20200505001817
Provider NameSara Marie Ocampo Denslow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669092110
PECOS PAC ID: 0749601664
Enrollment ID: I20200602000898
Provider NameMichael Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740741495
PECOS PAC ID: 1557783636
Enrollment ID: I20200618000077
Provider NameKhaled Ibrahim
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1497108393
PECOS PAC ID: 7113349663
Enrollment ID: I20200630000065
Provider NameDalila Fernandez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1568028488
PECOS PAC ID: 7517377229
Enrollment ID: I20201109002583
Provider NameAlexandra Feliz Camilo
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1346807625
PECOS PAC ID: 8123431368
Enrollment ID: I20210225000616
Provider NameLuis Antonio Moreno
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1538372958
PECOS PAC ID: 6507267473
Enrollment ID: I20210629003058
Provider NameLuis F Cordero Segundo
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1922204478
PECOS PAC ID: 7517221419
Enrollment ID: I20211020003261
Provider NameLuis Raul Rodriguez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1487605432
PECOS PAC ID: 4486612512
Enrollment ID: I20220110001226
Provider NameGautam Ganguly
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1669849824
PECOS PAC ID: 4688950066
Enrollment ID: I20220721001788
Provider NameKelly J. Lemaire
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1730738790
PECOS PAC ID: 9739563321
Enrollment ID: I20220831001033
Provider NameUma Durairaj
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891404380
PECOS PAC ID: 1759750300
Enrollment ID: I20221205000033
Provider NameCanice Chukwuocha
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1376151472
PECOS PAC ID: 5395154447
Enrollment ID: I20221215000922
Provider NameLaura Rodriguez Figueroa
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1518287622
PECOS PAC ID: 2163603382
Enrollment ID: I20221227002015
Provider NameEmmanuel Alejandro Garcia Lopez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1841725389
PECOS PAC ID: 7719344134
Enrollment ID: I20230530003364
Provider NameStephanie Concepcion
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1114137510
PECOS PAC ID: 3072827997
Enrollment ID: I20230627002211
Provider NameHarison Rafael Parra
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1871244848
PECOS PAC ID: 2860856994
Enrollment ID: I20230907004448
Provider NameEdel Herranz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891495453
PECOS PAC ID: 1254789878
Enrollment ID: I20231121000311

Reviews and Comments


Clinic/Center in Saint Augustine, FL

Medical Professionals Of North Florida
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Medicare: Not Enrolled in Medicare
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Phone: 904-460-9191    
North Florida Sports And Spine Center Inc.
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Practice Location: 2758 Us 1 S, Saint Augustine, FL 32086
Phone: 904-429-7765    Fax: 904-621-9202
Get Well, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 109 Nature Walk Pkwy, Suite 101, Saint Augustine, FL 32092
Phone: 904-217-7030    
Marathon Health Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 580 State Road 206 W, Saint Augustine, FL 32086
Phone: 904-671-8337    
Bailey Spine & Wellness, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 224 Southpark Cir E, Saint Augustine, FL 32086
Phone: 904-342-4941    Fax: 904-342-4937
Ashfaq Kudia, M.d., P.a.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1301 Plantation Island Dr S, Suite 302a, Saint Augustine, FL 32080
Phone: 904-461-9330    Fax: 904-461-9331
Michael P. Tessler Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 232 Southpark Cir E, Saint Augustine, FL 32086
Phone: 904-829-2141    Fax: 904-829-2141

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.