| Chase Baruch, | |
|
300 Saint Elizabeth Way Ste 270, Saint Johns, FL 32259-1152 | |
| (904) 691-1001 | |
| (904) 691-1002 |
| Full Name | Chase Baruch |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 300 Saint Elizabeth Way Ste 270, Saint Johns, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073462040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Ascension St Vincent's St Johns County | St johns, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 303 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Baruch, 300 Saint Elizabeth Way Ste 270, Saint Johns, FL 32259-1152 Ph: (904) 691-1001 | Chase Baruch, 300 Saint Elizabeth Way Ste 270, Saint Johns, FL 32259-1152 Ph: (904) 691-1001 |
Mary Stephens Mathis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459 |
Kimberly Eccher, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1820 State Road 13 Ste 11-926, Saint Johns, FL 32259 Phone: 888-730-5220 |
Victoria Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Village Oaks Dr, Saint Johns, FL 32259 Phone: 904-240-0442 |
Irina Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1633 Race Track Rd, Saint Johns, FL 32259 Phone: 786-614-3155 |
Tyler Lelio, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3735 Longleaf Pine Pkwy Ste 207, Saint Johns, FL 32259 Phone: 904-201-3271 |
Michael Mazzoni, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Leese Dr, Saint Johns, FL 32259 Phone: 210-243-5456 |
Pamela H Montano, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050 Saint Johns Pkwy Ste 106, Saint Johns, FL 32259 Phone: 904-526-7480 |