Lyerly Baptist Inc - Medicare Primary Care in Jacksonville, FL

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Lyerly Baptist Inc is a medicare enrolled primary clinic (Neurological Surgery) in Jacksonville, Florida. The current practice location for Lyerly Baptist Inc is 800 Prudential Dr, Tower B, 11th Floor, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 388-6518. The mailing address for Lyerly Baptist Inc is Po Box 746647, Atlanta, Georgia and phone number is (904) 202-2092.

Lyerly Baptist Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851347801. 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) 388-6518.

Contact Information

Lyerly Baptist Inc
800 Prudential Dr
Tower B, 11th Floor
Jacksonville
FL 32207-8202
(904) 388-6518
(904) 384-1005

Map and Direction


Primary Care Clinic Profile

Full NameLyerly Baptist Inc
SpecialityNeurological Surgery
Location800 Prudential Dr, Jacksonville, Florida
Authorized Official Name and PositionTyrone Mccloud (EXECUTIVE DIRECTOR)
Authorized Official Contact9042025367
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lyerly Baptist Inc
Po Box 746647
Atlanta
GA 30374-6647

Ph: (904) 202-2092		Lyerly Baptist Inc
800 Prudential Dr
Tower B, 11th Floor
Jacksonville
FL 32207-8202

Ph: (904) 388-6518

NPI Details:

NPI Number1851347801
Provider Enumeration Date05/25/2006
Last Update Date12/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9830112226
Medicare Enrollment IDO20060111001171

Medical Identifiers

Medical identifiers for Lyerly Baptist Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851347801NPI-NPPES
274381700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QB0002XFamily Medicine - Obesity Medicine (* (Not Available))Secondary
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Secondary
207T00000XNeurological Surgery (* (Not Available))Primary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
2084A2900XPsychiatry & Neurology - Neurocritical Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lyerly Baptist Inc acts as a billing entity for following providers:
Provider NamePaulo Monteiro
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1184670135
PECOS PAC ID: 4284660465
Enrollment ID: I20050714000365
Provider NameAshutosh A Pradhan
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1982648432
PECOS PAC ID: 7719980861
Enrollment ID: I20060810000479
Provider NameBradley A Wallace
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1134160161
PECOS PAC ID: 9436155009
Enrollment ID: I20061005000183
Provider NameEric Sauvageau
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1346252814
PECOS PAC ID: 7214939735
Enrollment ID: I20070212000505
Provider NameRicardo A Hanel
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1356394936
PECOS PAC ID: 0941251128
Enrollment ID: I20071018000318
Provider NameShannon F Terrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891979456
PECOS PAC ID: 0345324174
Enrollment ID: I20080303000567
Provider NameDanielle Ramsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538319025
PECOS PAC ID: 6406917962
Enrollment ID: I20081203000321
Provider NameDonald Ellsworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528238540
PECOS PAC ID: 6002981792
Enrollment ID: I20081219000203
Provider NameMerlie M Sapin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184862153
PECOS PAC ID: 6608924584
Enrollment ID: I20090504000059
Provider NameKristie D Sauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114160975
PECOS PAC ID: 7315090693
Enrollment ID: I20090804000511
Provider NameBelinda Monnig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871818591
PECOS PAC ID: 7012032592
Enrollment ID: I20100921000966
Provider NameDiane C Mclaughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548697261
PECOS PAC ID: 9234364639
Enrollment ID: I20131018001876
Provider NameAmogelang Marylin Keakopa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134557333
PECOS PAC ID: 8527293497
Enrollment ID: I20131030001490
Provider NameKristin L Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790118206
PECOS PAC ID: 4082846928
Enrollment ID: I20140408002158
Provider NameJennifer L Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760803431
PECOS PAC ID: 0244462190
Enrollment ID: I20140408002202
Provider NameMarjorie M Donnelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639596125
PECOS PAC ID: 0042442519
Enrollment ID: I20140416000028
Provider NameDaniel Cortelazzi Ferreira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770909327
PECOS PAC ID: 9739311002
Enrollment ID: I20140421001065
Provider NameKristin S Davies
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407258114
PECOS PAC ID: 4587986583
Enrollment ID: I20141203002214
Provider NameJan Michael Trinidad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225433758
PECOS PAC ID: 3577888239
Enrollment ID: I20150220002414
Provider NameAdam Jordan Polifka
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1427251230
PECOS PAC ID: 5991017394
Enrollment ID: I20150626000813
Provider NameHeather M Bean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104200450
PECOS PAC ID: 2466768866
Enrollment ID: I20150831002270
Provider NameNeeraj S Naval
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1285730374
PECOS PAC ID: 2860491750
Enrollment ID: I20150914001604
Provider NameAnthony J Ossorio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861878241
PECOS PAC ID: 8628388576
Enrollment ID: I20151105002144
Provider NameAnnamarie M Hoffecker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710356977
PECOS PAC ID: 7810297983
Enrollment ID: I20151120001359
Provider NameMohamad Chmayssani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1780847244
PECOS PAC ID: 7517115058
Enrollment ID: I20151221001648
Provider NameAmin Nima Aghaebrahim
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1558504423
PECOS PAC ID: 1557594355
Enrollment ID: I20160613001821
Provider NameSarah S Decker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538529235
PECOS PAC ID: 8729379565
Enrollment ID: I20160624001134
Provider NameAndrew B Shaw
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1437487709
PECOS PAC ID: 7214176056
Enrollment ID: I20160831001371
Provider NameYogesh Moradiya
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1306077177
PECOS PAC ID: 1951555127
Enrollment ID: I20160921000725
Provider NameKyle M Starck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467976399
PECOS PAC ID: 3678830114
Enrollment ID: I20171208000207
Provider NameJharna Nitin Shah
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1083935670
PECOS PAC ID: 6103040217
Enrollment ID: I20190826003567
Provider NameCorynn Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609419811
PECOS PAC ID: 9032545280
Enrollment ID: I20200206000256
Provider NameTimothy James Garrahy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013530807
PECOS PAC ID: 0941623482
Enrollment ID: I20200701000050
Provider NameAnnalise M Deboef
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053926501
PECOS PAC ID: 4082034251
Enrollment ID: I20201009001579
Provider NameAnthony Abrigo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578144523
PECOS PAC ID: 4284894171
Enrollment ID: I20210527001654
Provider NameLyndsey Jean Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942773106
PECOS PAC ID: 6406256692
Enrollment ID: I20210609001957
Provider NameMarcia M Camero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639598352
PECOS PAC ID: 0042506586
Enrollment ID: I20211029002246
Provider NameKimberly Cribbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679980353
PECOS PAC ID: 6002135688
Enrollment ID: I20220131001368
Provider NameDaniel S Ikeda
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1164751947
PECOS PAC ID: 5395984181
Enrollment ID: I20220208001263
Provider NameYourong S Su
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1124414669
PECOS PAC ID: 1951785757
Enrollment ID: I20220829000383
Provider NameJoe P Bhagratie
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1346801453
PECOS PAC ID: 3678900644
Enrollment ID: I20220920001105
Provider NameRyan Alexander Pal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538854690
PECOS PAC ID: 9335505536
Enrollment ID: I20230512002201
Provider NameJoseph Spinelli
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1851653406
PECOS PAC ID: 9830426949
Enrollment ID: I20230518001140
Provider NameMelissa Ann Wasilenko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427740224
PECOS PAC ID: 8729446067
Enrollment ID: I20230620001251
Provider NameJohn C Muse
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1881058741
PECOS PAC ID: 2365737962
Enrollment ID: I20230621000616
Provider NameKara J Shaffer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457827503
PECOS PAC ID: 6709123953
Enrollment ID: I20231017001123
Provider NameEvin L Guilliams
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1497287734
PECOS PAC ID: 0648543041
Enrollment ID: I20240718003759
Provider NameVictor Hugo Da Costa Benalia
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1528796869
PECOS PAC ID: 7719428754
Enrollment ID: I20240918002054

Reviews and Comments


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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.