| Charles Gary Cobb, MD | |
|
710 Lomax St, Jacksonville, FL 32204-4004 | |
| (904) 355-6583 | |
| (904) 355-4922 |
| Full Name | Charles Gary Cobb |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 710 Lomax St, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083752000 | NPI | - | NPPES |
| 259941400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME 80499 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enhabit Home Health | Jacksonville, FL | Home health agency |
| Baptist Home Health Care By Bayada | Jacksonville, FL | Home health agency |
| Family Life Care Inc | Orange park, FL | Home health agency |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Ascension St Vincent's St Johns County | St johns, FL | Hospital |
| Hca Florida Memorial Hospital | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Physician Specialists Llc | 4486806213 | 37 |
| Entity Name | Florida Physician Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588917108 PECOS PAC ID: 4486806213 Enrollment ID: O20121130000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Gary Cobb, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583 | Charles Gary Cobb, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583 |
Amanda Elizabeth Black, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Eric Alee Vance Qualkenbush, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Sarah Jessica Hampton, Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Khue Anh Minh Tran, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Gregory Broderick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Dr. Erica S. Mercer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-390-3747 Fax: 904-390-3429 |