<unavail> in Jacksonville, FL - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Jacksonville, Florida. The current practice location for is 13241 Bartram Park Blvd Unit 505, Jacksonville, Florida. For appointments, you can reach them via phone at (905) 701-3610. The mailing address for is 14367 Durbin Island Way, Jacksonville, Florida and phone number is (504) 237-7908.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083477814. 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 (905) 701-3610.

Contact Information


	13241 Bartram Park Blvd Unit 505 Jacksonville FL 32258-5213
	(905) 701-3610
	(904) 339-9752

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	13241 Bartram Park Blvd Unit 505, Jacksonville, Florida
Authorized Official Name and Position	Ashley Roussell (OWNER)
Authorized Official Contact	5042377908
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
14367 Durbin Island Way Jacksonville FL 32259-7095 Ph: (504) 237-7908	13241 Bartram Park Blvd Unit 505 Jacksonville FL 32258-5213 Ph: (905) 701-3610

NPI Details:

NPI Number	1083477814
Provider Enumeration Date	02/05/2024
Last Update Date	07/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0446795850
Medicare Enrollment ID	O20240710001651

Medical Identifiers

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

Identifier	Type	State	Issuer
1083477814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (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. acts as a billing entity for following providers:

Provider Name	Ashley Fisher Roussell
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1326502600 PECOS PAC ID: 5991136913 Enrollment ID: I20200507001032

Reviews and Comments

Family Medicine in Jacksonville, FL

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- Medicare Primary Care in Jacksonville, FL