| Jack William Mounce, | |
|
551616 Us Highway 1, Hilliard, FL 32046-8281 | |
| (904) 845-3574 | |
| (904) 845-7418 |
| Full Name | Jack William Mounce |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 551616 Us Highway 1, Hilliard, 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 |
|---|---|---|---|
| 1154898666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9385079 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9385079 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Institute Of Pain Medicine Llc | 4385769686 | 38 |
| Entity Name | Florida Institute of Pain Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194056283 PECOS PAC ID: 4385769686 Enrollment ID: O20181127000946 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack William Mounce, 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: Not Available | Jack William Mounce, 551616 Us Highway 1, Hilliard, FL 32046-8281 Ph: (904) 845-3574 |
Mrs. Kimberly Roberts, APRN-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-842-1041 |
Amanda Lee West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-842-1041 |
Diane C Thomas, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37203 Pecan St, Hilliard, FL 32046 Phone: 904-845-4761 Fax: 904-845-4076 |
Ms. Kimberly Bravo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-842-1041 |
Susan Urell Irvin, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-845-7418 |
Elisabeth Francis Harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2564 Copperhead Ln, Hilliard, FL 32046 Phone: 912-253-2374 |