Dr Jerrold Randall Ecklind, DO is a medicare enrolled "Family Medicine" physician in Wildwood, Florida. He went to West Virginia School Of Osteopathic Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cora Health Services, Inc. and his current practice location is
300 S Main St Ste 2, Wildwood, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 643-6699.
Dr Jerrold Randall Ecklind is licensed to practice in Florida (license number OS7663) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851390322.
Physician's Profile
| Full Name | Dr Jerrold Randall Ecklind |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 28 Years |
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| Location | 300 S Main St Ste 2, Wildwood, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jerrold Randall Ecklind attended and graduated from West Virginia School Of Osteopathic Medicine in 1996
NPI Data:
- NPI Number: 1851390322
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 10/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032289210
- Enrollment ID: I20080530000088
Medical Identifiers
Medical identifiers for Dr Jerrold Randall Ecklind such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851390322 | NPI | - | NPPES |
| JM261 | Other | FL | MEDICARE |
| 017234800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS7663 (Florida) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jerrold Randall Ecklind allows following entities to bill medicare on his behalf.
| Entity Name | Mid Florida Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629565932
PECOS PAC ID: 8123377439
Enrollment ID: O20180820003536 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerrold Randall Ecklind is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Jerrold Randall Ecklind, DO
300 S Main St Ste 2,
Wildwood, FL 34785-4542
Ph: (352) 643-6699 | Dr Jerrold Randall Ecklind, DO
300 S Main St Ste 2,
Wildwood, FL 34785-4542
Ph: (352) 643-6699 |
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