Mobile Medical - Medicare Mental Health Clinic in Jacksonville, FL

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

Mobile Medical 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

Mobile Medical
4655 Salisbury Rd Ste 220
Jacksonville
FL 32256-0959
(904) 570-9404
(904) 900-2224

Map and Direction


Mental Health Clinic Profile

Full NameMobile Medical
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
Mobile Medical
4655 Salisbury Rd Ste 110
Jacksonville
FL 32256-0957

Ph: (904) 733-1003		Mobile Medical
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 Mobile Medical 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
208D00000XGeneral Practice (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mobile Medical 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 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 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 NameCarneisha Latoya Myles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427590470
PECOS PAC ID: 1759663156
Enrollment ID: I20170119001699
Provider NameShannon C Orlando
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003326463
PECOS PAC ID: 8527328657
Enrollment ID: I20180208002665
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 NameApple-joe Pope
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982262739
PECOS PAC ID: 0749515070
Enrollment ID: I20190709002690
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 NameApril D Day
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326541608
PECOS PAC ID: 2365707056
Enrollment ID: I20200106000242
Provider NameJessica Danielle Tomko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538792858
PECOS PAC ID: 3274962444
Enrollment ID: I20200409001374
Provider NameCharles Alan Cantrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801317219
PECOS PAC ID: 1759708746
Enrollment ID: I20200908000728
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 NameDesiree Hartzell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275128241
PECOS PAC ID: 5597162255
Enrollment ID: I20210922001935
Provider NameMaggie Chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487316030
PECOS PAC ID: 5193115418
Enrollment ID: I20211201000048
Provider NameErisdanys Carballeda Puebla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811570328
PECOS PAC ID: 4688064660
Enrollment ID: I20211206002647
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 NameElisabeth Francis Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659032118
PECOS PAC ID: 3476946641
Enrollment ID: I20220210001911
Provider NameEmily Elizabeth Gavel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790141513
PECOS PAC ID: 2860799566
Enrollment ID: I20220304001411
Provider NameDeena Marie Lowery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104570092
PECOS PAC ID: 0042606196
Enrollment ID: I20220330000231
Provider NameErin Bishop Britton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457717134
PECOS PAC ID: 1254634033
Enrollment ID: I20220713001839
Provider NameRegina Petty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669092888
PECOS PAC ID: 2961883756
Enrollment ID: I20220726001316
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 NameShannon Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548917537
PECOS PAC ID: 1456727429
Enrollment ID: I20221015000140
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 NameJacquelyn Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013522473
PECOS PAC ID: 3173998812
Enrollment ID: I20230411000183
Provider NameChelsea Blais
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790480663
PECOS PAC ID: 2466817069
Enrollment ID: I20230504001281
Provider NameCyndia Milord-giordani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598486912
PECOS PAC ID: 6305202862
Enrollment ID: I20230525002252
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 NameBernitta Colley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255113346
PECOS PAC ID: 3173974995
Enrollment ID: I20240105002408

Reviews and Comments

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Mc Medical Llc
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Accessible Home Health Care Of South Central Massachusetts
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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.