| Jesse A Davila, MD | |
|
3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252 | |
| (904) 399-5550 | |
| (904) 346-4334 |
| Full Name | Jesse A Davila |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 3599 University Blvd S, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548282858 | NPI | - | NPPES |
| 645936602B | Medicaid | GA | |
| 44014 | Other | FL | BCBS |
| 270075100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME90427 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Radiology Services P C | 3577454024 | 70 |
| Northside Radiology Associates Llc | 4486555398 | 381 |
| Summit Imaging Services Llc | 9436597945 | 71 |
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Summit Imaging Services Llc | 9436597945 | 71 |
| Northside Radiology Associates Llc | 4486555398 | 381 |
| Summit Radiology Services P C | 3577454024 | 70 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Northside Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
| Entity Name | Summit Imaging Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134984982 PECOS PAC ID: 9436597945 Enrollment ID: O20250108001095 |
| Entity Name | Summit Radiology Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174572374 PECOS PAC ID: 3577454024 Enrollment ID: O20250122003701 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse A Davila, MD 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252 Ph: (904) 399-5550 | Jesse A Davila, MD 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252 Ph: (904) 399-5550 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 |
Jonathan William Parker, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |