<unavail> in Jacksonville, FL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Jacksonville, Florida. The current practice location for is 865 Cassat Ave, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 388-3229. The mailing address for is 1395 Cassat Ave Ste 3, Jacksonville, Florida and phone number is (904) 388-3229.

is licensed to practice in Florida (license number ME100337). The clinic also participates in the medicare program and its NPI number is 1750537445. 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) 388-3229.

Contact Information


	865 Cassat Ave Jacksonville FL 32205-4856
	(904) 388-3229
	(904) 388-8611

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	865 Cassat Ave, Jacksonville, Florida
Authorized Official Name and Position	Asim Nouman (PRESIDENT-MGRM)
Authorized Official Contact	9043883229
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1395 Cassat Ave Ste 3 Jacksonville FL 32205-9615 Ph: (904) 388-3229	865 Cassat Ave Jacksonville FL 32205-4856 Ph: (904) 388-3229

NPI Details:

NPI Number	1750537445
Provider Enumeration Date	08/13/2008
Last Update Date	08/25/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	0648348276
Medicare Enrollment ID	O20081008000757

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750537445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	ME100337 (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. acts as a billing entity for following providers:

Provider Name	Asim Nouman
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1427237916 PECOS PAC ID: 1153491089 Enrollment ID: I20080604000617

Reviews and Comments

Clinic/Center in Jacksonville, FL

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- Medicare Primary Care in Jacksonville, FL