| Dr Michael Christopher Hanes, MD | |
|
1100 Plantation Island Dr S Ste 220, Saint Augustine, FL 32080-5174 | |
| (904) 223-3321 | |
| (904) 223-2169 |
| Full Name | Dr Michael Christopher Hanes |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 16 Years |
| Location | 1100 Plantation Island Dr S Ste 220, Saint Augustine, 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 |
|---|---|---|---|
| 1760708473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME121093 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brooks Rehabilitation Home Health | Jacksonville, FL | Home health agency |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jacksonville Spine Center Pa | 6901890300 | 38 |
| Entity Name | North Florida Anesthesia Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346236866 PECOS PAC ID: 7416869565 Enrollment ID: O20031105000664 |
| Entity Name | Jacksonville Spine Center PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881643757 PECOS PAC ID: 6901890300 Enrollment ID: O20040408001580 |
| Entity Name | Jacksonville Beaches Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174781744 PECOS PAC ID: 1759458540 Enrollment ID: O20080919000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Christopher Hanes, MD 5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32224-0609 Ph: (904) 223-3321 | Dr Michael Christopher Hanes, MD 1100 Plantation Island Dr S Ste 220, Saint Augustine, FL 32080-5174 Ph: (904) 223-3321 |