| Dr Erica S Mercer, MD | |
|
807 Childrens Way, Jacksonville, FL 32207-8426 | |
| (904) 390-3747 | |
| (904) 390-3429 |
| Full Name | Dr Erica S Mercer |
|---|---|
| Gender | Female |
| Speciality | Urology - Pediatric Urology |
| Location | 807 Childrens Way, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134130669 | NPI | - | NPPES |
| 618920449A | Medicaid | GA | |
| 269022500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME74761 (Florida) | Secondary |
| 2088P0231X | Urology - Pediatric Urology | ME74761 (Florida) | Primary |
| Entity Name | The Nemours Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erica S Mercer, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Erica S Mercer, MD 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 390-3747 |
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, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Daniela Andrea Haehn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Khue Anh Minh Tran, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922 |