| Dr Justin Andrew Rose, DO | |
|
1370 13th Ave S Ste 116, Jacksonville Beach, FL 32250-3206 | |
| (904) 247-3858 | |
| Not Available |
| Full Name | Dr Justin Andrew Rose |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 1370 13th Ave S Ste 116, Jacksonville Beach, 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 |
|---|---|---|---|
| 1245586775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OT14510 (Pennsylvania) | Secondary |
| 208600000X | Surgery | OS19892 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons, Pa | 2769381391 | 316 |
| Entity Name | North Florida Surgeons, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Andrew Rose, DO 11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Dr Justin Andrew Rose, DO 1370 13th Ave S Ste 116, Jacksonville Beach, FL 32250-3206 Ph: (904) 247-3858 |
Dr. Agnes G. David, M. D. Surgery Medicare: Medicare Enrolled Practice Location: 1370 13th Avenue, Suite 119, Jacksonville Beach, FL 32250 Phone: 904-249-4994 Fax: 904-249-2604 | |
Dr. Thomas Robert Austgen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1370 13th Ave S, Suite 116, Jacksonville Beach, FL 32250 Phone: 904-247-3858 Fax: 904-247-7079 | |
Abbas Shariat, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S, Ste #140, Jacksonville Beach, FL 32250 Phone: 904-246-9464 Fax: 904-246-2528 |