Dr Jack B Davidoff, MD - Medicare Family Practice in Lakeland, FL

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Dr Jack B Davidoff, MD is a medicare enrolled "Family Medicine" physician in Lakeland, Florida. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Md4er Llc and his current practice location is 2300 E County Road 540a, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 680-7190.

Dr Jack B Davidoff is licensed to practice in Florida (license number ME116103) 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 1972519932.

Contact Information

Dr Jack B Davidoff, MD
2300 E County Road 540a,
Lakeland, FL 33813-3825
(863) 680-7190
(866) 264-8519

Map and Direction




Physician's Profile

Full NameDr Jack B Davidoff
GenderMale
SpecialityFamily Practice
Experience36 Years
Location2300 E County Road 540a, Lakeland, 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 Jack B Davidoff graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1972519932
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 12/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123912532
  • Enrollment ID: I20151207002797

Medical Identifiers

Medical identifiers for Dr Jack B Davidoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972519932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME116103 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Poinciana Medical CenterKissimmee, FLHospital
Lower Keys Medical CenterKey west, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Md4er Llc08405112429

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 Jack B Davidoff allows following entities to bill medicare on his behalf.
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20041207001148
Entity NameParagon Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912101650
PECOS PAC ID: 8628153087
Enrollment ID: O20080310000143
Entity NameMd4er Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568851707
PECOS PAC ID: 0840511242
Enrollment ID: O20150611000252
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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 Jack B Davidoff 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 Jack B Davidoff, MD
117 Palm Pl,
Haines City, FL 33844-5813

Ph: () -		Dr Jack B Davidoff, MD
2300 E County Road 540a,
Lakeland, FL 33813-3825

Ph: (863) 680-7190

Reviews and Comments


Family Medicine Doctors in Lakeland, FL

Danton Manabat Sun, MD
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Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7190    Fax: 866-264-8519
Dr. Luis Clyde Favilli, MD
Family Medicine
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Practice Location: 3650 Innovation Dr, Lakeland, FL 33812
Phone: 860-709-1968    Fax: 863-701-2151
Greto Ramos, M.D.
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Practice Location: 4710 S Florida Ave, Lakeland, FL 33813
Phone: 863-284-6800    
Saundra Holseth,
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Practice Location: 3240 S Florida Ave, Lakeland, FL 33803
Phone: 863-646-4000    Fax: 863-646-5189
Alex I Garriga, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813
Phone: 863-644-4547    Fax: 863-701-9453
Dr. Avantica Gondi, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803
Phone: 863-210-5640    Fax: 863-210-5716
Dr. Melissa Ann Ballengee, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7190    Fax: 866-264-8519

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.