Symphony Specialty Group, Llc - Medicare Mental Health Clinic in Jacksonville, FL

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Symphony Specialty Group, Llc is a medicare enrolled mental health clinic (Specialist) in Jacksonville, Florida. The current practice location for Symphony Specialty Group, Llc is 8613 Old Kings Rd S Ste 602, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 493-3390. The mailing address for Symphony Specialty Group, Llc is 8613 Old Kings Rd S Ste 602, Jacksonville, Florida and phone number is (904) 493-3390.

Symphony Specialty Group, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831878735. 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) 493-3390.

Contact Information

Symphony Specialty Group, Llc
8613 Old Kings Rd S Ste 602
Jacksonville
FL 32217-4863
(904) 493-3390
(904) 493-3395

Map and Direction


Mental Health Clinic Profile

Full NameSymphony Specialty Group, Llc
SpecialitySpecialist
Location8613 Old Kings Rd S Ste 602, Jacksonville, Florida
Authorized Official Name and PositionAndrew Escamilla (CEO)
Authorized Official Contact9044933390
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Symphony Specialty Group, Llc
8613 Old Kings Rd S Ste 602
Jacksonville
FL 32217-4863

Ph: (904) 493-3390		Symphony Specialty Group, Llc
8613 Old Kings Rd S Ste 602
Jacksonville
FL 32217-4863

Ph: (904) 493-3390

NPI Details:

NPI Number1831878735
Provider Enumeration Date07/17/2023
Last Update Date07/17/2023
Certification Date07/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7719340850
Medicare Enrollment IDO20230823000498

Medical Identifiers

Medical identifiers for Symphony Specialty Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831878735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
163WP0000XRegistered Nurse - Pain Management (* (Not Available))Secondary
163WW0000XRegistered Nurse - Wound Care (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
174400000XSpecialist (* (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. Symphony Specialty Group, Llc acts as a billing entity for following providers:
Provider NameMarc B Blatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861498131
PECOS PAC ID: 6305003427
Enrollment ID: I20120201000457
Provider NameKevin D Crismond
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1164428447
PECOS PAC ID: 5092773457
Enrollment ID: I20120410000176
Provider NameMarcela Dobren
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104197979
PECOS PAC ID: 6800045816
Enrollment ID: I20121008000662
Provider NameKayela Faye Borisade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104160217
PECOS PAC ID: 0143462465
Enrollment ID: I20130815000190
Provider NameJacqueline L Meekins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124243902
PECOS PAC ID: 4789607524
Enrollment ID: I20140519000578
Provider NameCarneisha Latoya Myles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427590470
PECOS PAC ID: 1759663156
Enrollment ID: I20170119001699
Provider NameRobert Mannel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1093073181
PECOS PAC ID: 1658683073
Enrollment ID: I20170804002628
Provider NameMichelle Molenaar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245763291
PECOS PAC ID: 6709110976
Enrollment ID: I20190620003240
Provider NameJanice Valerio Miciano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093352809
PECOS PAC ID: 8628482965
Enrollment ID: I20210128001670
Provider NameChristine Mcdonnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043892383
PECOS PAC ID: 4880094622
Enrollment ID: I20210615002901
Provider NameLatoya R Huguley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356015192
PECOS PAC ID: 5496153884
Enrollment ID: I20211015001486
Provider NameQuawendella Skinner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932534823
PECOS PAC ID: 1951789700
Enrollment ID: I20220607000885
Provider NameKisha Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760182893
PECOS PAC ID: 4486011426
Enrollment ID: I20230606002110
Provider NameVashawna Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609539162
PECOS PAC ID: 2961862040
Enrollment ID: I20230720003552
Provider NameJennifer L Fralick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760236673
PECOS PAC ID: 0941641278
Enrollment ID: I20240516003576
Provider NameWilliam Demayo
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1841471364
PECOS PAC ID: 0042348013
Enrollment ID: I20240715001474
Provider NameMichele Brandon
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1629636618
PECOS PAC ID: 0345575981
Enrollment ID: I20250113002444
Provider NameJatia Scales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740098946
PECOS PAC ID: 3678094158
Enrollment ID: I20250313000745

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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.