| Dr David Roger Chabolla, MD | |
|
4205 Belfort Rd Ste 1100, Jacksonville, FL 32216-5876 | |
| (904) 450-6300 | |
| (904) 281-5966 |
| Full Name | Dr David Roger Chabolla |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 36 Years |
| Location | 4205 Belfort Rd Ste 1100, 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 |
|---|---|---|---|
| 1245229319 | NPI | - | NPPES |
| 130012335 | Other | FL | RAILROAD MEDICARE |
| 27473 | Other | FL | BLUECROSS/BLUESHIELD |
| 268609100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME68656 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Ascension St Vincent's St Johns County | St johns, FL | Hospital |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Brooks Rehabilitation Hospital University Campus | Jacksonville, FL | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 303 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Roger Chabolla, MD 3 Shircliff Way, Suite 724, Jacksonville, FL 32204-4786 Ph: (904) 308-7959 | Dr David Roger Chabolla, MD 4205 Belfort Rd Ste 1100, Jacksonville, FL 32216-5876 Ph: (904) 450-6300 |
Dr. Aylin Saner Emmert, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1650 Prudential Dr Ste 210, Jacksonville, FL 32207 Phone: 904-376-3800 |
Dr. Justin Michael Mortimer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2732 Trollie Ln, Jacksonville, FL 32211 Phone: 904-289-1254 |
Kelvin Tran, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 145 Heron Bay Rd, Jacksonville, FL 32218 Phone: 904-470-6900 |
Caitlin Gardiner, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207 Phone: 917-634-5311 |
Ansley Caroline Madala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Raj D Sheth, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 807 Children's Way, Jacksonville, FL 32207 Phone: 904-390-3600 Fax: 904-390-3422 |
Dr. Riaz Ahmed, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-470-5800 Fax: 352-384-8014 |