| Sean Shahla, MD | |
|
1141 Beach Blvd, Jacksonville Beach, FL 32250-3445 | |
| (904) 249-3820 | |
| (904) 249-3390 |
| Full Name | Sean Shahla |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 1141 Beach Blvd, Jacksonville Beach, 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 |
|---|---|---|---|
| 1801884119 | NPI | - | NPPES |
| 252412100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0071346 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospice Of Northeast Florida Inc | Jacksonville, FL | Hospice |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Cypress Village | Jacksonville, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shahla Medical Associates Pa | 3870766819 | 2 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Shahla Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235317397 PECOS PAC ID: 3870766819 Enrollment ID: O20111108000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Shahla, MD 1141 Beach Blvd, Jacksonville, FL 32250-3445 Ph: (904) 249-3820 | Sean Shahla, MD 1141 Beach Blvd, Jacksonville Beach, FL 32250-3445 Ph: (904) 249-3820 |
Stephen E Grable, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1504 Roberts Drive, Jacksonville Beach, FL 32250 Phone: 904-247-7455 Fax: 904-247-8550 | |
Dr. Anne Thu-anh Bui, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 3rd Ave S Apt 803, Jacksonville Beach, FL 32250 Phone: 409-354-1961 | |
Dr. Michael B Ibach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1375 Roberts Dr, Ste 204, Jacksonville Beach, FL 32250 Phone: 904-247-0056 Fax: 904-241-0065 | |
William Wainwright, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-241-5492 | |
Thomas Carens Hilton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Roberts Dr Ste 101, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-376-3213 | |
Juan Daniel Pulido, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1370 13th Ave South, Suite 218, Jacksonville Beach, FL 32250 Phone: 904-853-6154 Fax: 904-853-6412 | |
Dr. Thomas G Gaddis, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899 |