Dr Kenneth Joseph Eaddy, MD in Jacksonville, FL

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 Name	Dr Kenneth Joseph Eaddy
Gender	Male
Speciality	Pain Management
Experience	20 Years
Location	11705 San Jose Blvd Ste 110, Jacksonville, 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.

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.

Identifier	Type	State	Issuer
1154506376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME107723 (Florida)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	ME107723 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Pain Relief Group Pllc	4688960271	80

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 Name	Florida Pain Relief Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245

Entity Name	Southeast Interventional Pain Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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. Claudio E Vincenty, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32224 Phone: 904-223-3321 Fax: 904-223-2169
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
Sheila Casabar, Pain Medicine Medicare: Medicare Enrolled Practice Location: 5011 Gate Parkway, Bldg 100 Ste 100, Jacksonville, FL 32256 Phone: 904-512-7239 Fax: 866-380-0827

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