Jacksonville Primary Care Pa in Jacksonville, FL

Jacksonville Primary Care Pa is a medicare enrolled primary clinic (Family Medicine) in Jacksonville, Florida. The current practice location for Jacksonville Primary Care Pa is 6028 Bennett Rd, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 737-6422. The mailing address for Jacksonville Primary Care Pa is 6028 Bennett Road, Jacksonville, Florida and phone number is (904) 737-6422.

Jacksonville Primary Care Pa is licensed to practice in Florida (license number ME0046485). The clinic also participates in the medicare program and its NPI number is 1104981398. 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) 737-6422.

Contact Information

	Jacksonville Primary Care Pa
	6028 Bennett Rd Jacksonville FL 32216-5004
	(904) 737-6422
	(904) 730-8144

Map and Direction

Primary Care Clinic Profile

Full Name	Jacksonville Primary Care Pa
Speciality	Family Medicine
Location	6028 Bennett Rd, Jacksonville, Florida
Authorized Official Name and Position	Denise Lynn Villavicencio Lazo (VICE PRESIDENT)
Authorized Official Contact	9043389500
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacksonville Primary Care Pa 6028 Bennett Road Jacksonville FL 32216 Ph: (904) 737-6422	Jacksonville Primary Care Pa 6028 Bennett Rd Jacksonville FL 32216-5004 Ph: (904) 737-6422

NPI Details:

NPI Number	1104981398
Provider Enumeration Date	12/27/2006
Last Update Date	11/14/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	5294769121
Medicare Enrollment ID	O20050921000082

Medical Identifiers

Medical identifiers for Jacksonville Primary Care Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104981398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME0046485 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jacksonville Primary Care Pa acts as a billing entity for following providers:

Provider Name	Ciceron Lazo
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1962567156 PECOS PAC ID: 7517159312 Enrollment ID: I20101012000969

Reviews and Comments

Family Medicine in Jacksonville, FL

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Jacksonville Primary Care Pa - Medicare Primary Care in Jacksonville, FL