| Robert Michael Macbain, | |
|
7403 Purser Ln, Hanahan, SC 29410-8291 | |
| (843) 330-8194 | |
| Not Available |
| Full Name | Robert Michael Macbain |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 7403 Purser Ln, Hanahan, South Carolina |
| 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 |
|---|---|---|---|
| 1982269643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's St Johns County | St johns, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons Pa | 2769381391 | 336 |
| Entity Name | North Florida Surgeons PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Michael Macbain, 11945 San Jose Blvd, Ste 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Robert Michael Macbain, 7403 Purser Ln, Hanahan, SC 29410-8291 Ph: (843) 330-8194 |
Lydia Mahan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1203 Jones St Apt A, Hanahan, SC 29410 Phone: 843-812-9036 |
Brooke Jackson Gerlach, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1818 Remant Rd, Hanahan, SC 29410 Phone: 843-410-5608 |