My Choice Operating Company Llc - Medicare Mental Health Clinic in Jacksonville, FL

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My Choice Operating Company Llc is a medicare enrolled mental health clinic (General Practice) in Jacksonville, Florida. The current practice location for My Choice Operating Company Llc is 4655 Salisbury Rd Ste 220, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 570-9404. The mailing address for My Choice Operating Company Llc is 4655 Salisbury Rd Ste 110, Jacksonville, Florida and phone number is (904) 733-1003.

My Choice Operating Company Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174112007. 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) 570-9404.

Contact Information

My Choice Operating Company Llc
4655 Salisbury Rd Ste 220
Jacksonville
FL 32256-0959
(904) 570-9404
(904) 900-2224

Map and Direction


Mental Health Clinic Profile

Full NameMy Choice Operating Company Llc
SpecialityGeneral Practice
Location4655 Salisbury Rd Ste 220, Jacksonville, Florida
Authorized Official Name and PositionRobert G Young (SECRETARY & CAO)
Authorized Official Contact9047331003
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
My Choice Operating Company Llc
4655 Salisbury Rd Ste 110
Jacksonville
FL 32256-0957

Ph: (904) 733-1003		My Choice Operating Company Llc
4655 Salisbury Rd Ste 220
Jacksonville
FL 32256-0959

Ph: (904) 570-9404

NPI Details:

NPI Number1174112007
Provider Enumeration Date01/14/2021
Last Update Date12/27/2023
Certification Date12/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3779991542
Medicare Enrollment IDO20210415000680

Medical Identifiers

Medical identifiers for My Choice Operating Company Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174112007NPI-NPPES
10D2178878OtherFLCLIA
12550OtherFLAHCA
110526700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. My Choice Operating Company Llc acts as a billing entity for following providers:
Provider NameJulie Tutak Maly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972536514
PECOS PAC ID: 3072414077
Enrollment ID: I20040114000053
Provider NameRenee O Slabicki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710085402
PECOS PAC ID: 9931202801
Enrollment ID: I20070314000082
Provider NameMichael A Edwards
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437355302
PECOS PAC ID: 6406911486
Enrollment ID: I20090209000423
Provider NameMichael Tracy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124054945
PECOS PAC ID: 0042359507
Enrollment ID: I20091123000651
Provider NameSean F Mcgrath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588624803
PECOS PAC ID: 8820137029
Enrollment ID: I20091201000488
Provider NameNina E D'andrea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134462989
PECOS PAC ID: 0941441810
Enrollment ID: I20130719000243
Provider NamePatricia D Seemann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912301029
PECOS PAC ID: 4981826880
Enrollment ID: I20141110000373
Provider NameDawn R Dust
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730562760
PECOS PAC ID: 5991012213
Enrollment ID: I20150919000140
Provider NameJudith Elibri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376928176
PECOS PAC ID: 2163739392
Enrollment ID: I20150921000277
Provider NameTiffany Leanne Mcclain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740658954
PECOS PAC ID: 4486954211
Enrollment ID: I20151201002081
Provider NameDonna J Cothren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255703302
PECOS PAC ID: 0840592028
Enrollment ID: I20160105001498
Provider NameShannon C Orlando
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003326463
PECOS PAC ID: 8527328657
Enrollment ID: I20180208002665
Provider NameMegan D Borden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790284602
PECOS PAC ID: 1951666528
Enrollment ID: I20180531002605
Provider NameAleisha Michelle Gasaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861976789
PECOS PAC ID: 1850637497
Enrollment ID: I20190118000061
Provider NameMonet Jeniece Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053808360
PECOS PAC ID: 9234478611
Enrollment ID: I20190301000371
Provider NameErika Favors Nisbett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891250486
PECOS PAC ID: 7214277417
Enrollment ID: I20190326002302
Provider NameVanessa Izquierdo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841848835
PECOS PAC ID: 6002147824
Enrollment ID: I20191009001966
Provider NameJamie Lea Laakmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801449624
PECOS PAC ID: 7416389838
Enrollment ID: I20191122001275
Provider NameMichael Joseph Conigliaro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205483898
PECOS PAC ID: 0749613172
Enrollment ID: I20191125002862
Provider NameJessica Danielle Tomko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538792858
PECOS PAC ID: 3274962444
Enrollment ID: I20200409001374
Provider NameAmy Algood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629626718
PECOS PAC ID: 6507278942
Enrollment ID: I20201209001597
Provider NameBrittany Cabler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366039208
PECOS PAC ID: 8022423227
Enrollment ID: I20210222001433
Provider NameBrandi Polite
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699447078
PECOS PAC ID: 2860883642
Enrollment ID: I20220105001958
Provider NameKimberly Ann Robbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083374888
PECOS PAC ID: 2163814781
Enrollment ID: I20220111002309
Provider NameTasha Ellsberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013466697
PECOS PAC ID: 5698168375
Enrollment ID: I20220201000857
Provider NameElisabeth Francis Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659032118
PECOS PAC ID: 3476946641
Enrollment ID: I20220210001911
Provider NameDeena Marie Lowery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104570092
PECOS PAC ID: 0042606196
Enrollment ID: I20220330000231
Provider NameAlecksandra Pantoja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609508027
PECOS PAC ID: 2062894421
Enrollment ID: I20220801002847
Provider NameColleen M Ware
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295462083
PECOS PAC ID: 7911381421
Enrollment ID: I20220901001954
Provider NameSheila Mfuru
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386372068
PECOS PAC ID: 8022493386
Enrollment ID: I20220922001755
Provider NameMatthew Hurst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962138594
PECOS PAC ID: 3870979032
Enrollment ID: I20220926003194
Provider NameJasmine S Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629799101
PECOS PAC ID: 4587040167
Enrollment ID: I20221005001234
Provider NameNancy Haake Walter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093438152
PECOS PAC ID: 4981070323
Enrollment ID: I20221026001341
Provider NameAmorie Brooke Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558099150
PECOS PAC ID: 3072981190
Enrollment ID: I20221122000700
Provider NameNatasha King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982327896
PECOS PAC ID: 8921477688
Enrollment ID: I20221220000954
Provider NameAnna Cushman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285332338
PECOS PAC ID: 7315311123
Enrollment ID: I20230317002004
Provider NameHope Wilson Arcuri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477250348
PECOS PAC ID: 6800260290
Enrollment ID: I20230327001672
Provider NameMegan Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154020022
PECOS PAC ID: 2466827175
Enrollment ID: I20230412000118
Provider NameJennifer Enoch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588165641
PECOS PAC ID: 5193070308
Enrollment ID: I20230607000308
Provider NameSheila E Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275232878
PECOS PAC ID: 5890156624
Enrollment ID: I20230726003190
Provider NameRobert Allen Roscoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518645969
PECOS PAC ID: 1254792690
Enrollment ID: I20230801002139
Provider NameYurgita Vaidya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578346318
PECOS PAC ID: 5799132098
Enrollment ID: I20231108001128
Provider NameKayla Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487347266
PECOS PAC ID: 8224486287
Enrollment ID: I20231130003967
Provider NameBernitta Colley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255113346
PECOS PAC ID: 3173974995
Enrollment ID: I20240105002408
Provider NameSonya Champion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578345922
PECOS PAC ID: 6608227772
Enrollment ID: I20240112003309
Provider NameLeirma Nichole Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194121277
PECOS PAC ID: 2860835170
Enrollment ID: I20240202003268
Provider NameElina Chernyak
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1710110820
PECOS PAC ID: 4082877899
Enrollment ID: I20240319004169
Provider NameHannah Hendershot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780446815
PECOS PAC ID: 4082056676
Enrollment ID: I20240529000082
Provider NameSharon Brandt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134988330
PECOS PAC ID: 8921544800
Enrollment ID: I20240727000024
Provider NameKelli Meeks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255172870
PECOS PAC ID: 1850723602
Enrollment ID: I20240806004778
Provider NameRobin Ringer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659130839
PECOS PAC ID: 8022558386
Enrollment ID: I20240912003581
Provider NameDeborah Gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851121461
PECOS PAC ID: 3779023049
Enrollment ID: I20240912003978
Provider NameDanielle Dodd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851135776
PECOS PAC ID: 6608302229
Enrollment ID: I20241206000048
Provider NameKatelyn Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255195764
PECOS PAC ID: 5294173084
Enrollment ID: I20250114000405
Provider NameMichelle Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487466074
PECOS PAC ID: 8123558764
Enrollment ID: I20250211003377
Provider NameBrenda E James
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295866606
PECOS PAC ID: 3678910288
Enrollment ID: I20250327000342
Provider NameChristina Cannon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790544088
PECOS PAC ID: 7315461456
Enrollment ID: I20250409003980
Provider NameCassandra Calero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124820022
PECOS PAC ID: 3476079997
Enrollment ID: I20250428004035
Provider NameErica Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437929379
PECOS PAC ID: 9335667989
Enrollment ID: I20250516002359
Provider NameNatalie Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730973470
PECOS PAC ID: 0446769376
Enrollment ID: I20250603001032

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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.