Dr Kenneth Joseph Eaddy, MD - Medicare Pain Management in Jacksonville, FL

  1. Home
  2. Pain Medicine
  3. FL
  4. Jacksonville
Dr Kenneth Joseph Eaddy, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Jacksonville, Florida. He went to Georgetown University School Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Florida Pain Relief Group Pllc and his current practice location is 11705 San Jose Blvd Ste 110, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 495-7976.

Dr Kenneth Joseph Eaddy is licensed to practice in Florida (license number ME107723) 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 1154506376.

Contact Information

Dr Kenneth Joseph Eaddy, MD
11705 San Jose Blvd Ste 110,
Jacksonville, FL 32223-1653
(904) 495-7976
(904) 683-5688

Map and Direction




Physician's Profile

Full NameDr Kenneth Joseph Eaddy
GenderMale
SpecialityPain Management
Experience20 Years
Location11705 San Jose Blvd Ste 110, Jacksonville, 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 Kenneth Joseph Eaddy attended and graduated from Georgetown University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1154506376
  • Provider Enumeration Date: 01/07/2008
  • Last Update Date: 07/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1254485956
  • Enrollment ID: I20100824000330

Medical Identifiers

Medical identifiers for Dr Kenneth Joseph Eaddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154506376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME107723 (Florida)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine ME107723 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Medical Center JacksonvilleJacksonville, FLHospital
Brooks Rehabilitation Hospital University CampusJacksonville, FLInpatient rehabilitation facility

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Pain Relief Group Pllc468896027180

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 Kenneth Joseph Eaddy allows following entities to bill medicare on his behalf.
Entity NameFlorida Pain Relief Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376994608
PECOS PAC ID: 4688960271
Enrollment ID: O20160908000245
Entity NameSoutheast Interventional Pain Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710618160
PECOS PAC ID: 3870974033
Enrollment ID: O20220719002021

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 Kenneth Joseph Eaddy 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 Kenneth Joseph Eaddy, MD
11705 San Jose Blvd Ste 110,
Jacksonville, FL 32223-1653

Ph: (904) 495-7976		Dr Kenneth Joseph Eaddy, MD
11705 San Jose Blvd Ste 110,
Jacksonville, FL 32223-1653

Ph: (904) 495-7976

Reviews and Comments


Pain Medicine Doctors in Jacksonville, FL

Dr. Hemant N Shah, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9421 Waypoint Pl, Jacksonville, FL 32257
Phone: 904-268-8200    Fax: 904-268-8298
Ismail Salahi, DO
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4063 Salisbury Rd, Suite 206, Jacksonville, FL 32216
Phone: 904-296-3611    Fax: 904-296-3617
Dr. Craig Allen Kornick, MD
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7207 Golden Wings Road, Jacksonville, FL 32244
Phone: 904-389-1010    Fax: 904-389-1082
Kevin Newton,
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9191 Rg Skinner Pkwy, Ste 303, Jacksonville, FL 32256
Phone: 240-855-5723    Fax: 904-503-0982
Dr. Jaime Sued, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7740 Point Meadows Dr Ste 607, Jacksonville, FL 32256
Phone: 904-389-1010    
Dr. Michael James Lupi, DO
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11705 San Jose Blvd Ste 110, Jacksonville, FL 32223
Phone: 904-292-2700    Fax: 904-292-2666
Scott Palmer, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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.