Jacksonville Psychiatric Association Inc - Medicare Mental Health Clinic in Jacksonville, FL

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Jacksonville Psychiatric Association Inc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Jacksonville, Florida. The current practice location for Jacksonville Psychiatric Association Inc is 10175 Fortune Pkwy, Suite 206, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 379-8748. The mailing address for Jacksonville Psychiatric Association Inc is 10175 Fortune Pkwy, Suite 206, Jacksonville, Florida and phone number is (973) 901-0394.

Jacksonville Psychiatric Association Inc is licensed to practice in Florida (license number ME112178). The clinic also participates in the medicare program and its NPI number is 1205261765. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 379-8748.

Contact Information

Jacksonville Psychiatric Association Inc
10175 Fortune Pkwy
Suite 206
Jacksonville
FL 32256-6746
(904) 379-8748
(904) 379-8796

Map and Direction


Mental Health Clinic Profile

Full NameJacksonville Psychiatric Association Inc
SpecialityPsychiatry & Neurology
Location10175 Fortune Pkwy, Jacksonville, Florida
Authorized Official Name and PositionImtiaz Rasul (OWNER)
Authorized Official Contact9739010394
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacksonville Psychiatric Association Inc
10175 Fortune Pkwy
Suite 206
Jacksonville
FL 32256-6746

Ph: (973) 901-0394		Jacksonville Psychiatric Association Inc
10175 Fortune Pkwy
Suite 206
Jacksonville
FL 32256-6746

Ph: (904) 379-8748

NPI Details:

NPI Number1205261765
Provider Enumeration Date09/03/2013
Last Update Date09/11/2025
Certification Date09/11/2025

Medicare PECOS Information:

Medicare PECOS PAC ID2668607722
Medicare Enrollment IDO20131105001673

Medical Identifiers

Medical identifiers for Jacksonville Psychiatric Association Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205261765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry ME112178 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jacksonville Psychiatric Association Inc acts as a billing entity for following providers:
Provider NameImtiaz Rasul
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1205071719
PECOS PAC ID: 4385775584
Enrollment ID: I20130111000326

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.