| Jacksonville Internal Medicine | |
|
2270 Pelham Rd S Jacksonville AL 36265-9582 | |
| (256) 435-5499 | |
| (256) 435-6064 |
| Full Name | Jacksonville Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2270 Pelham Rd S, Jacksonville, Alabama |
| Authorized Official Name and Position | Rey Gavino (OWNER) |
| Authorized Official Contact | 2564355499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Internal Medicine Po Box 550 Jacksonville AL 36265 Ph: (256) 435-5499 | Jacksonville Internal Medicine 2270 Pelham Rd S Jacksonville AL 36265-9582 Ph: (256) 435-5499 |
| NPI Number | 1811066103 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 01/11/2012 |
| Medicare PECOS PAC ID | 3870542525 |
|---|---|
| Medicare Enrollment ID | O20050119001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811066103 | NPI | - | NPPES |
| 01D1017203 | Other | AL | CLIA |
| 529917260 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25404 (Alabama) | Primary |
| Provider Name | Joy C Gavino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003992157 PECOS PAC ID: 0840284576 Enrollment ID: I20040414000468 |
| Provider Name | Rey S Gavino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659457794 PECOS PAC ID: 1052360708 Enrollment ID: I20051025000537 |
Jennifer Woodard Crnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Trinity Way, Jacksonville, AL 36265 Phone: 256-591-3869 | |
Jacksonville Surgical & Medical Affiliates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 2nd Ave Sw, Jacksonville, AL 36265 Phone: 256-782-4395 | |
Dr Muhamad Mazen Festok Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 2nd Ave Sw, B, Jacksonville, AL 36265 Phone: 256-435-5325 Fax: 256-435-8431 | |
Alexander Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1654 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-741-1198 Fax: 256-235-5608 | |
Doctors Med Care Of Jacksonville, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1505 Pelham Rd S, Ste 2, Jacksonville, AL 36265 Phone: 256-435-7300 Fax: 256-435-7305 | |
Jacksonville Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 Phone: 678-432-4755 | |
Allergy & Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1642 Pelham Rd S, Suite A, Jacksonville, AL 36265 Phone: 256-365-2233 Fax: 256-365-2187 |