| Dr Robert L Hutchingson, MD | |
|
820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 | |
| (904) 346-3649 | |
| (904) 348-5627 |
| Full Name | Dr Robert L Hutchingson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 820 Prudential Dr Ste 304, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356313761 | NPI | - | NPPES |
| 007221600 | Medicaid | FL | |
| 087051341A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME41869 (Florida) | Primary |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert L Hutchingson, MD Po Box 44004, Jacksonville, FL 32231-4004 Ph: (904) 202-1032 | Dr Robert L Hutchingson, MD 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 Ph: (904) 346-3649 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |