| Dr Jerrold Randall Ecklind, DO | |
|
300 S Main St Ste 2, Wildwood, FL 34785-4542 | |
| (352) 643-6699 | |
| (888) 675-8377 |
| Full Name | Dr Jerrold Randall Ecklind |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 300 S Main St Ste 2, Wildwood, 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 |
|---|---|---|---|
| 1851390322 | NPI | - | NPPES |
| JM261 | Other | FL | MEDICARE |
| 017234800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7663 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rehab At Home | Summerfield, FL | Home health agency |
| Concierge Home Care | Leesburg, FL | Home health agency |
| Florida Homecare Specialists Inc | Lady lake, FL | Home health agency |
| Pinnacle Home Care Of The Villages Inc | Fruitland park, FL | Home health agency |
| Heal At Home Healthcare | Belleview, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Adventhealth Dade City | Dade city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cora Health Services Inc | 1759290992 | 1216 |
| Mid Florida Physicians Group Inc | 8123377439 | 2 |
| Entity Name | Mid Florida Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629565932 PECOS PAC ID: 8123377439 Enrollment ID: O20180820003536 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerrold Randall Ecklind, DO 300 S Main St Ste 2, Wildwood, FL 34785-4542 Ph: (352) 643-6699 | Dr Jerrold Randall Ecklind, DO 300 S Main St Ste 2, Wildwood, FL 34785-4542 Ph: (352) 643-6699 |
Dr. Mariel Gonzalez-mendoza, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Cleveland Ave Ste G, Wildwood, FL 34785 Phone: 352-913-2145 Fax: 352-913-2146 |