Brian D Tardif, PA - Medicare Physician Assistant in Jacksonville, FL

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Brian D Tardif, PA is a medicare enrolled "Physician Assistant - Surgical" in Jacksonville, Florida. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southeast Orthopedic Specialists Llc and his current practice location is 10475 Centurion Pkwy N, Suite 220, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 634-0640.

Brian D Tardif is licensed to practice in Florida (license number PA9106048) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164719076.

Contact Information

Brian D Tardif, PA
10475 Centurion Pkwy N, Suite 220,
Jacksonville, FL 32256-5003
(904) 634-0640
(904) 634-0203

Map and Direction




Provider's Profile

Full NameBrian D Tardif
GenderMale
SpecialityPhysician Assistant
Experience15 Years
Location10475 Centurion Pkwy N, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian D Tardif graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1164719076
  • Provider Enumeration Date: 06/30/2011
  • Last Update Date: 03/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7113195652
  • Enrollment ID: I20110727000565

Medical Identifiers

Medical identifiers for Brian D Tardif such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164719076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA9106048 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centerwell Home HealthJacksonville, FLHome health agency
Ascension St Vincent's SouthsideJacksonville, FLHospital
Ascension St Vincent's RiversideJacksonville, FLHospital
Baptist Medical Center JacksonvilleJacksonville, FLHospital
Ascension St Vincent's Clay CountyMiddleburg, FLHospital
Baptist Medical Center - BeachesJacksonville beach, FLHospital
Brooks Rehabilitation Hospital University CampusJacksonville, FLInpatient rehabilitation facility

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Orthopedic Specialists Llc1456246974144

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian D Tardif allows following entities to bill medicare on his behalf.
Entity NameSoutheast Orthopedic Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629025820
PECOS PAC ID: 1456246974
Enrollment ID: O20040216000301

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian D Tardif is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian D Tardif, PA
6500 Bowden Rd, Suite 103,
Jacksonville, FL 32216-8070

Ph: (904) 634-0640		Brian D Tardif, PA
10475 Centurion Pkwy N, Suite 220,
Jacksonville, FL 32256-5003

Ph: (904) 634-0640

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.