East Coast Injury Clinic - Medicare in Jacksonville, FL

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East Coast Injury Clinic is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Jacksonville, Florida. Their current practice location is 10550 Deerwood Park Blvd Ste 609a, Jacksonville, Florida. You can reach out to their office (for appointments etc.) via phone at (904) 513-3954.

East Coast Injury Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. East Coast Injury Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124424643.

Contact Information

East Coast Injury Clinic
10550 Deerwood Park Blvd Ste 609a,
Jacksonville, FL 32256-2811
(904) 513-3954
(904) 212-0223

Map and Direction




Healthcare Provider's Profile

Full NameEast Coast Injury Clinic
TypeFacility
SpecialityPhysical Medicine & Rehabilitation
Location10550 Deerwood Park Blvd Ste 609a, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124424643
  • Provider Enumeration Date: 11/11/2014
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830417948
  • Enrollment ID: O20150421000529

Medical Identifiers

Medical identifiers for East Coast Injury Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124424643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NN0400XChiropractor - Neurology (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Primary
2084N0400XPsychiatry & Neurology - Neurology (* (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. East Coast Injury Clinic acts as a billing entity for following providers:
Provider NameGregory Mcnamara
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1720051832
PECOS PAC ID: 5496796799
Enrollment ID: I20080725000654
Provider NameVanessa J Wilczak
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1366775124
PECOS PAC ID: 1658414412
Enrollment ID: I20100203000041
Provider NameCraig A Cherrin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194267625
PECOS PAC ID: 1557645405
Enrollment ID: I20170221002459
Provider NameHarsh Dangaria
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1861789992
PECOS PAC ID: 3870712672
Enrollment ID: I20170620001739
Provider NameAdam Whalen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1396067963
PECOS PAC ID: 5092033100
Enrollment ID: I20220119001273
Provider NameRenu Gautam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558744417
PECOS PAC ID: 4284920752
Enrollment ID: I20220629001205
Provider NameLuis Damaso Garcia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225744287
PECOS PAC ID: 6002276920
Enrollment ID: I20230724001557
Provider NameNicole Marie Walters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386238012
PECOS PAC ID: 9537520309
Enrollment ID: I20230727000864
Provider NameMohammed Ata
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053971119
PECOS PAC ID: 1850627399
Enrollment ID: I20231010004036

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. East Coast Injury Clinic 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 AddressPractice Location Address
East Coast Injury Clinic
Po Box 936957,
Atlanta, GA 31193-6957

Ph: (941) 209-5410		East Coast Injury Clinic
10550 Deerwood Park Blvd Ste 609a,
Jacksonville, FL 32256-2811

Ph: (904) 513-3954

Reviews and Comments



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.