River City Medical Associates Inc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Jacksonville, Florida. Their current practice location is
6947 Merrill Rd, Jacksonville, Florida. You can reach out to their office (for appointments etc.) via phone at
(904) 743-2222.
River City Medical Associates Inc is licensed to practice in Florida (license number ) and it also participates in the medicare program. River City Medical Associates Inc
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 1649322215.
Healthcare Provider's Profile
| Full Name | River City Medical Associates Inc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 6947 Merrill Rd, Jacksonville, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649322215
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 01/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 1850478819
- Enrollment ID: O20080402000067
Medical Identifiers
Medical identifiers for River City Medical Associates Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649322215 | NPI | - | NPPES |
| 011041800 | Medicaid | FL | |
| 33125 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| DO0093 | Other | FL | RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH8351 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH9130 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH8829 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH10260 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH10561 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME121788 (Florida) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME80212 (Florida) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME101999 (Florida) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | ME103267 (Florida) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME103267 (Florida) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (Florida) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | ME121788 (Florida) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (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.
River City Medical Associates Inc acts as a billing entity for following providers:
| Provider Name | Deric L D'agostino |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1508910506
PECOS PAC ID: 8921031873
Enrollment ID: I20050913000154 |
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| Provider Name | Vipul R Patel |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1073582151
PECOS PAC ID: 6204914591
Enrollment ID: I20080613000406 |
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| Provider Name | Kristy Donnelly |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1629377627
PECOS PAC ID: 2860670692
Enrollment ID: I20110627000696 |
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| Provider Name | Long Van |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1396019006
PECOS PAC ID: 7911149745
Enrollment ID: I20130807000800 |
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| Provider Name | Rebecca E Morris |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1346633393
PECOS PAC ID: 9335449107
Enrollment ID: I20200205002177 |
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| Provider Name | Trang N Nghiem |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1508385261
PECOS PAC ID: 4789064866
Enrollment ID: I20220707000582 |
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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. River City Medical Associates Inc 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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River City Medical Associates Inc
6947 Merrill Rd,
Jacksonville, FL 32277-2684
Ph: (904) 743-2222 | River City Medical Associates Inc
6947 Merrill Rd,
Jacksonville, FL 32277-2684
Ph: (904) 743-2222 |
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