Dr Daniel Jose Vergara, DO - Medicare Family Practice in Jacksonville, FL

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Dr Daniel Jose Vergara, DO is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Vincent's Ambulatory Care Inc and his current practice location is 4205 Belfort Rd Ste 3075, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 450-8140.

Dr Daniel Jose Vergara is licensed to practice in Florida (license number OS17678) 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 1316444045.

Contact Information

Dr Daniel Jose Vergara, DO
4205 Belfort Rd Ste 3075,
Jacksonville, FL 32216-1475
(904) 450-8140
Not Available

Map and Direction




Physician's Profile

Full NameDr Daniel Jose Vergara
GenderMale
SpecialityFamily Practice
Experience6 Years
Location4205 Belfort Rd Ste 3075, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daniel Jose Vergara attended and graduated from Nova Southeastern College Of Osteo Medicine in 2018
  NPI Data:
  • NPI Number: 1316444045
  • Provider Enumeration Date: 04/09/2018
  • Last Update Date: 07/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486905676
  • Enrollment ID: I20210805001380

Medical Identifiers

Medical identifiers for Dr Daniel Jose Vergara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316444045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS17678 (Florida)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent's SouthsideJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent's Ambulatory Care Inc2860411188278

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. Dr Daniel Jose Vergara allows following entities to bill medicare on his behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430

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. Dr Daniel Jose Vergara 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
Dr Daniel Jose Vergara, DO
4205 Belfort Rd Ste 4015,
Jacksonville, FL 32216-3623

Ph: (904) 450-6017		Dr Daniel Jose Vergara, DO
4205 Belfort Rd Ste 3075,
Jacksonville, FL 32216-1475

Ph: (904) 450-8140

Reviews and Comments


Family Medicine Doctors in Jacksonville, FL

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Dr. Terry Dale Hashey, D.O.
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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.