| Mark T Gould, MD | |
|
1536 N Jefferson St, Jacksonville, FL 32209-6525 | |
| (904) 475-6319 | |
| (904) 475-5809 |
| Full Name | Mark T Gould |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Foot And Ankle Surgery |
| Location | 1536 N Jefferson St, 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 |
|---|---|---|---|
| 1942349949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME131538 (Florida) | Secondary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | ME131538 (Florida) | Primary |
| Entity Name | Hughston Orthopaedic Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568914026 PECOS PAC ID: 3274819644 Enrollment ID: O20170605002904 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Gould, MD 132 Indian Hammock Ln, Ponte Vedra, FL 32082-2155 Ph: (619) 865-4915 | Mark T Gould, MD 1536 N Jefferson St, Jacksonville, FL 32209-6525 Ph: (904) 475-6319 |
Glenn Shi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Roshawn Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Dr. Farid A. Hakim, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2 Shircliff Way Ste 605, Jacksonville, FL 32204 Phone: 904-634-0640 Fax: 904-634-0203 |
Niall Hayward Cochrane, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Kent Ryan Kraus, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Dr. Patrick D Brooks, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1577 Roberts Dr Ste 225, Jacksonville, FL 32250 Phone: 904-241-1204 Fax: 904-241-7331 |
Kennedy James Ringelberg, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214 Phone: 414-699-8422 |