Donald W Tice, DO - Medicare Family Medicine in Ponte Vedra, FL

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Donald W Tice, DO is a medicare enrolled "Family Medicine" physician in Ponte Vedra, Florida. His current practice location is 141 Hilden Rd Ste 201, Ponte Vedra, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 825-1941.

Donald W Tice is licensed to practice in Florida (license number OS19428) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154380483.

Contact Information

Donald W Tice, DO
141 Hilden Rd Ste 201,
Ponte Vedra, FL 32081-8400
(904) 825-1941
(904) 390-7460

Map and Direction




Physician's Profile

Full NameDonald W Tice
GenderMale
SpecialityFamily Medicine
Location141 Hilden Rd Ste 201, Ponte Vedra, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154380483
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901700343
  • Enrollment ID: I20040217000480

Medical Identifiers

Medical identifiers for Donald W Tice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154380483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS19428 (Florida)Primary
207Q00000XFamily Medicine D01509 (Nevada)Secondary

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. Donald W Tice allows following entities to bill medicare on his behalf.
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629021076
PECOS PAC ID: 2961309315
Enrollment ID: O20031215000742
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346638483
PECOS PAC ID: 2961309315
Enrollment ID: O20170510000410
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184783284
PECOS PAC ID: 2961309315
Enrollment ID: O20170523000231
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619100096
PECOS PAC ID: 2961309315
Enrollment ID: O20170523001559
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508120619
PECOS PAC ID: 2961309315
Enrollment ID: O20170524001573
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669535225
PECOS PAC ID: 2961309315
Enrollment ID: O20170601000080
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002986

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. Donald W Tice 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
Donald W Tice, DO
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-1032		Donald W Tice, DO
141 Hilden Rd Ste 201,
Ponte Vedra, FL 32081-8400

Ph: (904) 825-1941

Reviews and Comments


Family Medicine Doctors in Ponte Vedra, FL

Nasrin Datar Raina, M.D.
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Practice Location: 151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081
Phone: 904-543-3677    
Richard W. Townsend, MD
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Practice Location: 351 Town Plaza Ave Ste 105a, Ponte Vedra, FL 32081
Phone: 904-819-3233    Fax: 904-456-0819
Dr. Lara Diane Church, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 141 Hilden Rd Ste 201, Credentialing Department, Ponte Vedra, FL 32081
Phone: 904-825-1941    Fax: 904-829-2850
Elizabeth Anne Nelson Andersen, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081
Phone: 904-825-1941    Fax: 904-390-7460
Hiro M Rahbar, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 400 Colonnade Dr, Ponte Vedra, FL 32081
Phone: 904-824-1020    Fax: 904-824-5333
Sarah Crane Adams, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 162 Parkbluff Cir, Ponte Vedra, FL 32081
Phone: 706-464-1744    Fax: 904-372-6158

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.