Baptist Md Anderson Cancer Physicians Inc - Medicare Primary Care in Jacksonville, FL

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Baptist Md Anderson Cancer Physicians Inc is a medicare enrolled primary clinic (Internal Medicine - Hematology & Oncology) in Jacksonville, Florida. The current practice location for Baptist Md Anderson Cancer Physicians Inc is 1235 San Marco Blvd, Suite 2, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 202-7300. The mailing address for Baptist Md Anderson Cancer Physicians Inc is Po Box 746654, Atlanta, Georgia and phone number is (904) 202-2092.

Baptist Md Anderson Cancer Physicians Inc is licensed to practice in Florida (license number ). The clinic also participates in the medicare program and its NPI number is 1538593124. 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) 202-7300.

Contact Information

Baptist Md Anderson Cancer Physicians Inc
1235 San Marco Blvd
Suite 2
Jacksonville
FL 32207-8554
(904) 202-7300
(904) 202-7377

Map and Direction


Primary Care Clinic Profile

Full NameBaptist Md Anderson Cancer Physicians Inc
SpecialityInternal Medicine
Location1235 San Marco Blvd, Jacksonville, Florida
Authorized Official Name and PositionLeeann Mengel (VICE PRESIDENT)
Authorized Official Contact9042027300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Baptist Md Anderson Cancer Physicians Inc
Po Box 746654
Atlanta
GA 30374-6654

Ph: (904) 202-2092		Baptist Md Anderson Cancer Physicians Inc
1235 San Marco Blvd
Suite 2
Jacksonville
FL 32207-8554

Ph: (904) 202-7300

NPI Details:

NPI Number1538593124
Provider Enumeration Date08/30/2013
Last Update Date04/10/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5991932063
Medicare Enrollment IDO20131217000276

Medical Identifiers

Medical identifiers for Baptist Md Anderson Cancer Physicians Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538593124NPI-NPPES
DU3570OtherFLRAILROAD MEDICARE
003149978AMedicaidGA
0099422-00MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (Florida)Secondary
207RP1001XInternal Medicine - Pulmonary Disease (Florida)Secondary
207RX0202XInternal Medicine - Medical Oncology (Florida)Secondary
207VX0201XObstetrics & Gynecology - Gynecologic Oncology (Florida)Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (Florida)Secondary
2085R0001XRadiology - Radiation Oncology (Florida)Secondary
2086X0206XSurgery - Surgical Oncology (Florida)Secondary
208800000XUrology (Florida)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) (Florida)Secondary
207RH0003XInternal Medicine - Hematology & Oncology (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Baptist Md Anderson Cancer Physicians Inc acts as a billing entity for following providers:
Provider NameStephen L Buckley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1396794681
PECOS PAC ID: 8224920020
Enrollment ID: I20040326000699
Provider NameNeenad M Shah
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1922000751
PECOS PAC ID: 1254392772
Enrollment ID: I20041019000769
Provider NameMark Augspurger
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1689630949
PECOS PAC ID: 2961469275
Enrollment ID: I20050208000464
Provider NameJorge Antunez De Mayolo
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1407844798
PECOS PAC ID: 8729054788
Enrollment ID: I20050705000652
Provider NameEric Sauvageau
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1346252814
PECOS PAC ID: 7214939735
Enrollment ID: I20070212000505
Provider NameRicardo A Hanel
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1356394936
PECOS PAC ID: 0941251128
Enrollment ID: I20071018000318
Provider NameCynthia S Anderson
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1174724819
PECOS PAC ID: 0547359804
Enrollment ID: I20071210000291
Provider NameLaila Samiian
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1760663124
PECOS PAC ID: 1951489160
Enrollment ID: I20080428000628
Provider NameSridhar Srinivasan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1750598363
PECOS PAC ID: 4385718634
Enrollment ID: I20080804000653
Provider NameCherri J Rosimini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801802889
PECOS PAC ID: 9537235874
Enrollment ID: I20080910000182
Provider NamePaul W Nowicki
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1255382982
PECOS PAC ID: 3375550320
Enrollment ID: I20080924000179
Provider NameRon Landmann
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1407013592
PECOS PAC ID: 2860550548
Enrollment ID: I20081024000185
Provider NameMichael Olson
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1427244037
PECOS PAC ID: 7113078197
Enrollment ID: I20090702000408
Provider NameRobert Zaiden
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1821143710
PECOS PAC ID: 2769529155
Enrollment ID: I20091016000006
Provider NameMaxim Norkin
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1841428588
PECOS PAC ID: 1153447958
Enrollment ID: I20100929001259
Provider NameDat C Pham
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1659332831
PECOS PAC ID: 7012191380
Enrollment ID: I20110411000612
Provider NameCaitlin G Sargent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689994865
PECOS PAC ID: 0840460341
Enrollment ID: I20110818000686
Provider NameOmar M Mahmoud
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1467784439
PECOS PAC ID: 7214108810
Enrollment ID: I20110912000138
Provider NameLara Z Zuberi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1750342457
PECOS PAC ID: 2466488325
Enrollment ID: I20120724000061
Provider NameJenny M Whitworth
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1811105372
PECOS PAC ID: 2860553625
Enrollment ID: I20130807000964
Provider NameAngela I Mays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396176111
PECOS PAC ID: 2961631056
Enrollment ID: I20140213000464
Provider NameNancy Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417180076
PECOS PAC ID: 2466618491
Enrollment ID: I20140822000918
Provider NameWilliam A Hammond
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1932426590
PECOS PAC ID: 8820239288
Enrollment ID: I20140827000573
Provider NameAmber M Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336548619
PECOS PAC ID: 4486978970
Enrollment ID: I20150109000535
Provider NameJohn Vu
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1497956072
PECOS PAC ID: 7315193067
Enrollment ID: I20150730013645
Provider NameEdward Gorak
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1376580696
PECOS PAC ID: 5193737955
Enrollment ID: I20150803002240
Provider NameRobert Cavaliere
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1730263096
PECOS PAC ID: 5395779516
Enrollment ID: I20150929002827
Provider NameJonathan J Melquist
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1336396910
PECOS PAC ID: 3476777996
Enrollment ID: I20151022002623
Provider NameJoe Putnam
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1073600193
PECOS PAC ID: 5991791261
Enrollment ID: I20151102001903
Provider NameMichele L Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346621992
PECOS PAC ID: 7214231315
Enrollment ID: I20160210001922
Provider NameWassim Samra
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1780947754
PECOS PAC ID: 1153610555
Enrollment ID: I20160524000749
Provider NameJulie C Greenwalt
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1649562463
PECOS PAC ID: 7214171297
Enrollment ID: I20160616002490
Provider NameSarah R Griffis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174970701
PECOS PAC ID: 8022300631
Enrollment ID: I20160629003084
Provider NameKathleen F Fort
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205381571
PECOS PAC ID: 0042508525
Enrollment ID: I20161017001029
Provider NameAllison H Courson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295285781
PECOS PAC ID: 5799066056
Enrollment ID: I20161227001969
Provider NameChristopher M Pezzi
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1326123662
PECOS PAC ID: 5193790459
Enrollment ID: I20170121000262
Provider NameDiana E Amenya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396281028
PECOS PAC ID: 5294005096
Enrollment ID: I20170727001790
Provider NameChristine A Kanekoa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114454766
PECOS PAC ID: 9335411503
Enrollment ID: I20170823000948
Provider NamePatrick Alan Regis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659852325
PECOS PAC ID: 7719239292
Enrollment ID: I20181010003693
Provider NameLeslie Shannan Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770059008
PECOS PAC ID: 6103160239
Enrollment ID: I20181130001035
Provider NameJacquelene Marie Carson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710456215
PECOS PAC ID: 6002151073
Enrollment ID: I20181219001105
Provider NameTiffany M Connors
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518445667
PECOS PAC ID: 2567707219
Enrollment ID: I20181227000990
Provider NameFaisal Iftikhar Ahmad
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1770859944
PECOS PAC ID: 3476799859
Enrollment ID: I20190613001715
Provider NameBarrett Zachary Mccormick
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1235495003
PECOS PAC ID: 8921373259
Enrollment ID: I20190802002819
Provider NameAakash M Modi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1043573769
PECOS PAC ID: 3678804580
Enrollment ID: I20191008000782
Provider NameSubrato Jesse Deb
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1548240765
PECOS PAC ID: 7113007600
Enrollment ID: I20191030000339
Provider NameHeather Harper Augustyniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386080364
PECOS PAC ID: 2163656307
Enrollment ID: I20191220001749
Provider NameCallie S Parry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790347128
PECOS PAC ID: 0244665552
Enrollment ID: I20200115000189
Provider NameLillie Emmelhainz O'steen
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1942680707
PECOS PAC ID: 0345557062
Enrollment ID: I20200622001458
Provider NameKimberly Nguyen Blythe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669096897
PECOS PAC ID: 3678995297
Enrollment ID: I20200626000947
Provider NameLeslie Gayle Lohse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831716547
PECOS PAC ID: 3274958749
Enrollment ID: I20200730002326
Provider NameBharatsinh Gharia
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1700242187
PECOS PAC ID: 6608161773
Enrollment ID: I20200731001536
Provider NameLauren Cooper Hand
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1164866778
PECOS PAC ID: 9335372036
Enrollment ID: I20200813003616
Provider NameLael S Stieglitz
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1336535004
PECOS PAC ID: 9032416557
Enrollment ID: I20200916000468
Provider NameNiraj Jaysukh Gusani
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1326154907
PECOS PAC ID: 2668470279
Enrollment ID: I20201016002593
Provider NameRobert J Wilson
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1649560814
PECOS PAC ID: 3779886304
Enrollment ID: I20201111001041
Provider NameGeetika Bhatt
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1205193349
PECOS PAC ID: 0648570531
Enrollment ID: I20201117000585
Provider NameCindy Marie Lorenzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518597186
PECOS PAC ID: 4183051279
Enrollment ID: I20210122002420
Provider NameKaren Beatrice Ching-tismal
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1548454259
PECOS PAC ID: 7416113808
Enrollment ID: I20210616001788
Provider NameKonstantinos Chouliaras
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1215349022
PECOS PAC ID: 5991016149
Enrollment ID: I20210721002840
Provider NameErica Mayland
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1871980987
PECOS PAC ID: 6103247523
Enrollment ID: I20210810004171
Provider NameCandace Michele Gordon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518530427
PECOS PAC ID: 3870999535
Enrollment ID: I20210902003381
Provider NameCathryn Mcgill Johnson
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1376987289
PECOS PAC ID: 5991946238
Enrollment ID: I20210909002928
Provider NameGeorge B Filosa
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1013396647
PECOS PAC ID: 0941513154
Enrollment ID: I20210929002258
Provider NameTamara Goda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548455850
PECOS PAC ID: 7315018652
Enrollment ID: I20211217001834
Provider NameCallie Leigh-anne Soltero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972257574
PECOS PAC ID: 6800282047
Enrollment ID: I20220415000188
Provider NameAvani Changela
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1740582246
PECOS PAC ID: 6901118140
Enrollment ID: I20220524001535
Provider NameNadiene Ann Stock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083984306
PECOS PAC ID: 6608039482
Enrollment ID: I20220730000174
Provider NameKathleen Marie Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184354615
PECOS PAC ID: 8022484831
Enrollment ID: I20221019002544
Provider NameApril E Reagan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043330475
PECOS PAC ID: 8628174349
Enrollment ID: I20221117002314
Provider NameDayra C Avila Lima
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1679881502
PECOS PAC ID: 2668777962
Enrollment ID: I20221213000625
Provider NameKerwin K Cumberbatch
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1669785788
PECOS PAC ID: 9931478971
Enrollment ID: I20230218000510
Provider NameIan G Pinto
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1245265057
PECOS PAC ID: 7315940087
Enrollment ID: I20230327002027
Provider NameMona Janfaza
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1215283015
PECOS PAC ID: 2466766142
Enrollment ID: I20230411000006
Provider NameAlexandria Darles Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639877848
PECOS PAC ID: 5597120030
Enrollment ID: I20230505000240
Provider NameHind Mamdouh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902508351
PECOS PAC ID: 0446616908
Enrollment ID: I20230525002431
Provider NameEmily S Grange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326665365
PECOS PAC ID: 6901222710
Enrollment ID: I20230710003086
Provider NameBlaine Daniel Smith
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1568996775
PECOS PAC ID: 7416339544
Enrollment ID: I20230718000031
Provider NameArian Majko
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1578902755
PECOS PAC ID: 3476843673
Enrollment ID: I20230731001837
Provider NameDavid Jeffrey Hall
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1700224110
PECOS PAC ID: 7911135090
Enrollment ID: I20230807000371
Provider NameKrista N Zodarecky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932640802
PECOS PAC ID: 8820367550
Enrollment ID: I20240119001618
Provider NameTomislav Dragovich
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1518979715
PECOS PAC ID: 3476681578
Enrollment ID: I20240312000526
Provider NameNithya Meenakshi Krishnan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1396248126
PECOS PAC ID: 2860741733
Enrollment ID: I20240604000170
Provider NameJulie A Jorgenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992078158
PECOS PAC ID: 0143479733
Enrollment ID: I20240604002293
Provider NameDiana Angelica Weegmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386414787
PECOS PAC ID: 5991247637
Enrollment ID: I20240610000379
Provider NameClerissa C Mahon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518340611
PECOS PAC ID: 4789998675
Enrollment ID: I20240706000350
Provider NameSumit Isharwal
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1538455191
PECOS PAC ID: 7416253935
Enrollment ID: I20240815000895
Provider NameShane B Clark
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1902391477
PECOS PAC ID: 1153679394
Enrollment ID: I20240903001293

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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.