Monogram Health Professional Services Of Florida Llc - Medicare Primary Care in Jacksonville, FL

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Monogram Health Professional Services Of Florida Llc is a medicare enrolled primary clinic (Internal Medicine) in Jacksonville, Florida. The current practice location for Monogram Health Professional Services Of Florida Llc is 4720 Salisbury Rd, Jacksonville, Florida. For appointments, you can reach them via phone at (615) 673-4455. The mailing address for Monogram Health Professional Services Of Florida Llc is 5410 Maryland Way Ste 301, Brentwood, Tennessee and phone number is (615) 673-4455.

Monogram Health Professional Services Of Florida Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538883111. 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 (615) 673-4455.

Contact Information

Monogram Health Professional Services Of Florida Llc
4720 Salisbury Rd
Jacksonville
FL 32256-6101
(615) 673-4455
(615) 432-4651

Map and Direction


Primary Care Clinic Profile

Full NameMonogram Health Professional Services Of Florida Llc
SpecialityInternal Medicine
Location4720 Salisbury Rd, Jacksonville, Florida
Authorized Official Name and PositionShawn L Verner (SECRETARY)
Authorized Official Contact6159941889
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Monogram Health Professional Services Of Florida Llc
5410 Maryland Way Ste 301
Brentwood
TN 37027-5339

Ph: (615) 673-4455		Monogram Health Professional Services Of Florida Llc
4720 Salisbury Rd
Jacksonville
FL 32256-6101

Ph: (615) 673-4455

NPI Details:

NPI Number1538883111
Provider Enumeration Date09/28/2022
Last Update Date11/30/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0244608149
Medicare Enrollment IDO20221128001413

Medical Identifiers

Medical identifiers for Monogram Health Professional Services Of Florida Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538883111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Monogram Health Professional Services Of Florida Llc acts as a billing entity for following providers:
Provider NameJacqueline Becker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679548143
PECOS PAC ID: 7113950858
Enrollment ID: I20050914000282
Provider NameYajaida Aristhyl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245479005
PECOS PAC ID: 9830244359
Enrollment ID: I20090908000207
Provider NameRizwan Khan
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1407169477
PECOS PAC ID: 9335329051
Enrollment ID: I20140605002089
Provider NameJohn Isaak
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1265725519
PECOS PAC ID: 9436398971
Enrollment ID: I20140918000576
Provider NameMelissa Roman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881070688
PECOS PAC ID: 2769799139
Enrollment ID: I20150917000270
Provider NameZahily Fals
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1598078115
PECOS PAC ID: 6103121520
Enrollment ID: I20160223002253
Provider NameDarlyn Jose Victor
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1386084986
PECOS PAC ID: 3072834860
Enrollment ID: I20160824003170
Provider NameJody Moreno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508212796
PECOS PAC ID: 7416245758
Enrollment ID: I20161019001544
Provider NameChanel Keari Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932610722
PECOS PAC ID: 2860752557
Enrollment ID: I20180126001226
Provider NameShawn Sheehy Van Buren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417176926
PECOS PAC ID: 1759645013
Enrollment ID: I20180514002005
Provider NameLeigh Hahn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184136681
PECOS PAC ID: 7810244340
Enrollment ID: I20180716001056
Provider NameNicole A Spall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780167809
PECOS PAC ID: 0143574962
Enrollment ID: I20181114002305
Provider NameMichael S Day
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376025734
PECOS PAC ID: 3375885445
Enrollment ID: I20190422002005
Provider NameSandra D Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346702545
PECOS PAC ID: 3779816418
Enrollment ID: I20190611003060
Provider NameRamon Suarez Carmona
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851778062
PECOS PAC ID: 8729317854
Enrollment ID: I20190913002711
Provider NameLubna Aslam Rashid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760626337
PECOS PAC ID: 9739374851
Enrollment ID: I20200612000675
Provider NameKalliope M Morrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174874853
PECOS PAC ID: 9638323447
Enrollment ID: I20200630000419
Provider NameKarla Yanitza Rodriguez Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205475431
PECOS PAC ID: 8527484146
Enrollment ID: I20200813001458
Provider NameShaminder Gupta
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1730183401
PECOS PAC ID: 1658322300
Enrollment ID: I20210615001696
Provider NameRoberta Slauterbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841733854
PECOS PAC ID: 9830479534
Enrollment ID: I20210729001207
Provider NameKatherine Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487028122
PECOS PAC ID: 6608270046
Enrollment ID: I20210809000257
Provider NameSandra M Figueroa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497327837
PECOS PAC ID: 1153727813
Enrollment ID: I20210902003307
Provider NameArianne Gallo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679234413
PECOS PAC ID: 8123406550
Enrollment ID: I20220525003068
Provider NameLuis Santiago
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699423012
PECOS PAC ID: 6709264989
Enrollment ID: I20220531000626
Provider NameChelsea Dawn Malinowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659899375
PECOS PAC ID: 4587921895
Enrollment ID: I20220531001297
Provider NamePaul Naenge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972018364
PECOS PAC ID: 4486032687
Enrollment ID: I20220531001631
Provider NameRick Michel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396079562
PECOS PAC ID: 3375938673
Enrollment ID: I20220607001869
Provider NameSarybeth Rodriguez Soto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588305858
PECOS PAC ID: 4587043708
Enrollment ID: I20220617002554
Provider NameLisa D Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699401935
PECOS PAC ID: 1951784081
Enrollment ID: I20220822003336
Provider NameAmanda Bahler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245785013
PECOS PAC ID: 2860776481
Enrollment ID: I20221220002368
Provider NameChristopher Pile
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1447367057
PECOS PAC ID: 4981671104
Enrollment ID: I20221222002045
Provider NameRebecca Ates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467169854
PECOS PAC ID: 4082084579
Enrollment ID: I20221227001174
Provider NameMegan Kathleen Barr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649837907
PECOS PAC ID: 5597135970
Enrollment ID: I20221229000452
Provider NameKimberly Ann Dion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568126498
PECOS PAC ID: 1759751761
Enrollment ID: I20230110000052
Provider NameDaniel J Gonzalez Respeto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477274249
PECOS PAC ID: 4385015551
Enrollment ID: I20230126000202
Provider NameSamantha Ethalee Gates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134788383
PECOS PAC ID: 6800267998
Enrollment ID: I20230127002758
Provider NameJohn L Wetzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568545135
PECOS PAC ID: 9830107911
Enrollment ID: I20230203001813
Provider NameGisselle Van Etten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235809476
PECOS PAC ID: 4284007279
Enrollment ID: I20230222000205
Provider NameCindy Lanza-cortes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265178537
PECOS PAC ID: 8224402755
Enrollment ID: I20230323000364
Provider NameMayelin Diaz Cuba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528724853
PECOS PAC ID: 4486028982
Enrollment ID: I20230324000181
Provider NameAlda M O'connor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265603294
PECOS PAC ID: 2062887276
Enrollment ID: I20230331000123
Provider NameBritney Brodmerkel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477142198
PECOS PAC ID: 8921483132
Enrollment ID: I20230331001874
Provider NameJoy Fletcher Chairs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184138653
PECOS PAC ID: 2062774367
Enrollment ID: I20230412001292
Provider NameAngela M Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851992994
PECOS PAC ID: 4082098140
Enrollment ID: I20230523000674
Provider NameMilka Mejia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407201189
PECOS PAC ID: 4284910407
Enrollment ID: I20230613001743
Provider NameSusan Bell
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1336285873
PECOS PAC ID: 7517122013
Enrollment ID: I20230726002867
Provider NameFelice Ike
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437625860
PECOS PAC ID: 1850624941
Enrollment ID: I20230727003744
Provider NameMoniba Bilal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659502441
PECOS PAC ID: 7517115074
Enrollment ID: I20230824000019
Provider NameLuis Angel Aponte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588335277
PECOS PAC ID: 4981092772
Enrollment ID: I20230829004230
Provider NameJoel Kavanagh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740391390
PECOS PAC ID: 7315098530
Enrollment ID: I20230913001315
Provider NameNancy Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659400885
PECOS PAC ID: 9537260351
Enrollment ID: I20230913002061
Provider NameMaria Miljutina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508458704
PECOS PAC ID: 8224419049
Enrollment ID: I20230913004268
Provider NameHannah Troutman
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1720243009
PECOS PAC ID: 9537301569
Enrollment ID: I20230914003384
Provider NameJaclyn Masulli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124565171
PECOS PAC ID: 5294149761
Enrollment ID: I20230921002632
Provider NameTara Marie Schindler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407557564
PECOS PAC ID: 8729432174
Enrollment ID: I20231004000025
Provider NameCharlesetta Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881238285
PECOS PAC ID: 0244668655
Enrollment ID: I20231025003628
Provider NameAnisbel Gonzalez Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336874650
PECOS PAC ID: 8820444938
Enrollment ID: I20231026000251
Provider NameJoy Sickles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942649975
PECOS PAC ID: 0345482923
Enrollment ID: I20231103001347
Provider NameJennifer Cirner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609184381
PECOS PAC ID: 2163605627
Enrollment ID: I20231202000694
Provider NamePamela Lane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780106328
PECOS PAC ID: 2365717709
Enrollment ID: I20231205000193
Provider NameKatherine Elaine Campbell Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003454687
PECOS PAC ID: 4082044664
Enrollment ID: I20231208003225
Provider NameAmanda Linneman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407456882
PECOS PAC ID: 5597176271
Enrollment ID: I20231228000316
Provider NameGinger Cowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023079084
PECOS PAC ID: 9931147873
Enrollment ID: I20240112001623
Provider NameCarrie Rebecca Hyde
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1114260726
PECOS PAC ID: 1658696307
Enrollment ID: I20240124001341
Provider NameXiomara Zayas Santiago
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346016599
PECOS PAC ID: 4789028978
Enrollment ID: I20240215001874
Provider NameYordania Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093578635
PECOS PAC ID: 6507200748
Enrollment ID: I20240215003469

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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.