Jacksonville Primary Care Pa - Medicare Primary Care in Jacksonville, FL

Jacksonville Primary Care Pa is a medicare enrolled primary clinic (Family Medicine) in Jacksonville, Florida. The current practice location for Jacksonville Primary Care Pa is 6028 Bennett Rd, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 737-6422. The mailing address for Jacksonville Primary Care Pa is 6028 Bennett Road, Jacksonville, Florida and phone number is (904) 737-6422.

Jacksonville Primary Care Pa is licensed to practice in Florida (license number ME0046485). The clinic also participates in the medicare program and its NPI number is 1104981398. 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) 737-6422.

Contact Information

Jacksonville Primary Care Pa
6028 Bennett Rd
Jacksonville
FL 32216-5004
(904) 737-6422
(904) 730-8144

Map and Direction


Primary Care Clinic Profile

Full NameJacksonville Primary Care Pa
SpecialityFamily Medicine
Location6028 Bennett Rd, Jacksonville, Florida
Authorized Official Name and PositionDenise Lynn Villavicencio Lazo (VICE PRESIDENT)
Authorized Official Contact9043389500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacksonville Primary Care Pa
6028 Bennett Road
Jacksonville
FL 32216

Ph: (904) 737-6422
Jacksonville Primary Care Pa
6028 Bennett Rd
Jacksonville
FL 32216-5004

Ph: (904) 737-6422

NPI Details:

NPI Number1104981398
Provider Enumeration Date12/27/2006
Last Update Date11/14/2011

Medicare PECOS Information:

Medicare PECOS PAC ID5294769121
Medicare Enrollment IDO20050921000082

Medical Identifiers

Medical identifiers for Jacksonville Primary Care Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104981398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME0046485 (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. Jacksonville Primary Care Pa acts as a billing entity for following providers:
Provider NameCiceron Lazo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962567156
PECOS PAC ID: 7517159312
Enrollment ID: I20101012000969

Reviews and Comments


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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.