| Dr Gerardo Baldassarri, MD | |
|
98 Nocatee Village Dr, Ponte Vedra, FL 32081-6152 | |
| (904) 202-4243 | |
| (904) 202-4639 |
| Full Name | Dr Gerardo Baldassarri |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 98 Nocatee Village Dr, Ponte Vedra, 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 |
|---|---|---|---|
| 1275504581 | NPI | - | NPPES |
| 16636 | Other | FL | BCBS |
| 273061800 | Medicaid | FL | |
| 1275504581 | Other | FL | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME92921 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Walterboro, SC | Home health agency |
| Allendale County Hospital | Fairfax, SC | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allendale County Hospital Board | 2567371610 | 2 |
| Allendale County Hospital Board | 2567371610 | 2 |
| Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerardo Baldassarri, MD Po Box 746636, Atlanta, GA 30374-6636 Ph: (904) 202-1032 | Dr Gerardo Baldassarri, MD 98 Nocatee Village Dr, Ponte Vedra, FL 32081-6152 Ph: (904) 202-4243 |
Nasrin Datar Raina, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081 Phone: 904-543-3677 | |
Richard W. Townsend, MD Family Medicine Medicare: Medicare Enrolled 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. Family Medicine 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: Accepting Medicare Assignments 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 | |
Donald W Tice, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460 | |
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 |