David Maynoldi, MD is a medicare enrolled "Hospitalist" physician in Orange Park, Florida. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hospital Physician Services - Southeast Professional Corporation, Ch Specialty Services Ga Llc and his current practice location is
1202 Kingsley Ave, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at
(877) 842-4020.
David Maynoldi is licensed to practice in Florida (license number ME130811) 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 1144591249.
Physician's Profile
| Full Name | David Maynoldi |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 19 Years |
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| Location | 1202 Kingsley Ave, Orange Park, 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. |
Medical Education and Training:
- David Maynoldi graduated from medical school in 2007
NPI Data:
- NPI Number: 1144591249
- Provider Enumeration Date: 01/20/2012
- Last Update Date: 03/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 6002136934
- Enrollment ID: I20170621000707
Medical Identifiers
Medical identifiers for David Maynoldi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144591249 | NPI | - | NPPES |
| 163944 | Other | FL | ABFM |
| 73904 | Other | GA | MEDICAL LICENSE |
| ME130811 | Other | FL | FLORIDA MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | ME130811 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME130811 (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. David Maynoldi allows following entities to bill medicare on his behalf.
| Entity Name | Cogent Healthcare of Jacksonville, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
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| Entity Name | Sound Physicians of Florida IV, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
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| Entity Name | Adesso Professional Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730682808 PECOS PAC ID: 2163776667 Enrollment ID: O20181120002056 |
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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. David Maynoldi 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 |
David Maynoldi, MD 5000-18 Us Highway 17 South, 241, Fleming Island, FL 32003 Ph: (877) 842-4020 | David Maynoldi, MD 1202 Kingsley Ave, Orange Park, FL 32073-4632 Ph: (877) 842-4020 |
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