| Keith Sacco, MD | |
|
4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | |
| (904) 953-2000 | |
| Not Available |
| Full Name | Keith Sacco |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 4500 San Pablo Rd S, 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 |
|---|---|---|---|
| 1780049759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | ME174436 (Florida) | Primary |
| 207K00000X | Allergy & Immunology | 62060 (Arizona) | Secondary |
| Entity Name | Phoenix Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Sacco, MD Po Box 860912, Minneapolis, MN 55486-0912 Ph: () - | Keith Sacco, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 |
Dr. Michael Richard Kaplan, D.O. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-7791 Fax: 904-542-7651 | |
Dr. Sunil N Joshi, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4123 University Blvd S, B, Jacksonville, FL 32216 Phone: 904-636-9100 Fax: 904-636-9102 | |
Dr. Allen Okie, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 6484 Fort Caroline Rd, Jacksonville, FL 32277 Phone: 904-744-7300 Fax: 904-722-4271 | |
Dr. Robert Allen Gillham Jr., M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Paul F Wubbena Jr, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 11267 Harbour Woods Rd S, Jacksonville, FL 32225 Phone: 904-378-2880 Fax: 904-646-7997 | |
Tracy Sinha Khona, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4131 University Blvd S Ste 4a, Jacksonville, FL 32216 Phone: 904-733-6487 Fax: 904-733-6542 | |
Arveen Bhasin, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |