| Joseph Laurence Ernst, PA-C | |
|
2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204-4763 | |
| (904) 389-5333 | |
| (904) 389-5332 |
| Full Name | Joseph Laurence Ernst |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 34 Years |
| Location | 2 Shircliff Way, Jacksonville, 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 |
|---|---|---|---|
| 1942332200 | NPI | - | NPPES |
| PENDING | Other | FL | MEDICARE PTAN |
| 292776400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA3207 (Florida) | Secondary |
| 363A00000X | Physician Assistant | (Florida) | Secondary |
| 208M00000X | Hospitalist | PA3207 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Ed Fraser Memorial Hospital | Macclenny, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vip Specialties Of Florida | 7810355708 | 27 |
| James D Baker Iii Md Pa | 9032011663 | 19 |
| Entity Name | James D Baker III MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437182896 PECOS PAC ID: 9032011663 Enrollment ID: O20040123000824 |
| 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 |
| Entity Name | Vip Specialties of Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790499812 PECOS PAC ID: 7810355708 Enrollment ID: O20230626001309 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Laurence Ernst, PA-C 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204-4763 Ph: (904) 389-5333 | Joseph Laurence Ernst, PA-C 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204-4763 Ph: (904) 389-5333 |