Ace Medical Llc - Medicare Primary Care in Jacksonville, FL

Ace Medical Llc is a medicare enrolled primary clinic (Internal Medicine) in Jacksonville, Florida. The current practice location for Ace Medical Llc is 6428 Beach Blvd, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 475-2039. The mailing address for Ace Medical Llc is 6428 Beach Blvd, Jacksonville, Florida and phone number is (904) 475-2039.

Ace Medical Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265772370. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 475-2039.

Contact Information

Ace Medical Llc
6428 Beach Blvd
Jacksonville
FL 32216-2813
(904) 475-2039
(904) 330-0668

Map and Direction


Primary Care Clinic Profile

Full NameAce Medical Llc
SpecialityInternal Medicine
Location6428 Beach Blvd, Jacksonville, Florida
Authorized Official Name and PositionJoseph Ellyson (OFFICE MANAGER)
Authorized Official Contact9044752039
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ace Medical Llc
6428 Beach Blvd
Jacksonville
FL 32216-2813

Ph: (904) 475-2039
Ace Medical Llc
6428 Beach Blvd
Jacksonville
FL 32216-2813

Ph: (904) 475-2039

NPI Details:

NPI Number1265772370
Provider Enumeration Date02/26/2013
Last Update Date09/15/2025

Medicare PECOS Information:

Medicare PECOS PAC ID3971745712
Medicare Enrollment IDO20130807000993

Medical Identifiers

Medical identifiers for Ace Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265772370NPI-NPPES
7635710004OtherNSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
208VP0000XPain Medicine - Pain Medicine (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Secondary
204C00000XNeuromusculoskeletal Medicine, Sports Medicine (* (Not Available))Secondary
261QP1100XClinic/center - Podiatric (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ace Medical Llc acts as a billing entity for following providers:
Provider NameRaul Soto-acosta
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619991106
PECOS PAC ID: 5799727228
Enrollment ID: I20050525000572
Provider NameJaynell M Smith-cameron
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1235276189
PECOS PAC ID: 6901993237
Enrollment ID: I20071102000037
Provider NameGeorge Camacho
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538154596
PECOS PAC ID: 6406925239
Enrollment ID: I20080520000686
Provider NameDiana M Cordero
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053357707
PECOS PAC ID: 7416015524
Enrollment ID: I20081018000005
Provider NameNathan Roger Perry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073613295
PECOS PAC ID: 0446276240
Enrollment ID: I20100901000556
Provider NamePradeep Khanna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659705762
PECOS PAC ID: 7719112101
Enrollment ID: I20131018001342
Provider NameRobin Belcher-howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104292200
PECOS PAC ID: 9537439088
Enrollment ID: I20170717002561
Provider NameJohnnie Bradley-goodman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306322656
PECOS PAC ID: 0042561078
Enrollment ID: I20181001002367
Provider NameLeticia B Reno
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821306317
PECOS PAC ID: 9537318944
Enrollment ID: I20181211001786
Provider NameManuel Gervasio Ruiz Dicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184130916
PECOS PAC ID: 1850729625
Enrollment ID: I20200311000050
Provider NameChelie Chenille Toler Buckley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902573256
PECOS PAC ID: 9537565981
Enrollment ID: I20210909002334
Provider NameVeronica H Bartley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851851554
PECOS PAC ID: 5597141721
Enrollment ID: I20220926002314
Provider NameSalia Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073294161
PECOS PAC ID: 5991159568
Enrollment ID: I20230930000279
Provider NameDarlene Burch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083499412
PECOS PAC ID: 4385099597
Enrollment ID: I20231009000492
Provider NameStacey M Grant
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184278749
PECOS PAC ID: 1850839671
Enrollment ID: I20240812002683
Provider NameArlene Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811748619
PECOS PAC ID: 0042755597
Enrollment ID: I20250310003562

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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.