Renew Wound Care Of Florida Llc - Medicare Primary Care in Jacksonville, FL

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Renew Wound Care Of Florida Llc is a medicare enrolled primary clinic (Internal Medicine) in Jacksonville, Florida. The current practice location for Renew Wound Care Of Florida Llc is 3648 University Blvd S, Jacksonville, Florida. For appointments, you can reach them via phone at (929) 491-7700. The mailing address for Renew Wound Care Of Florida Llc is 1481 Mcdonald Ave, Brooklyn, New York and phone number is (929) 491-7700.

Renew Wound Care 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 1811631591. 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 (929) 491-7700.

Contact Information

Renew Wound Care Of Florida Llc
3648 University Blvd S
Jacksonville
FL 32216-4208
(929) 491-7700
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameRenew Wound Care Of Florida Llc
SpecialityInternal Medicine
Location3648 University Blvd S, Jacksonville, Florida
Authorized Official Name and PositionJoseph Wiesenfeld (ADMINISTRATOR)
Authorized Official Contact7184088860
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renew Wound Care Of Florida Llc
1481 Mcdonald Ave
Brooklyn
NY 11230-4667

Ph: (929) 491-7700		Renew Wound Care Of Florida Llc
3648 University Blvd S
Jacksonville
FL 32216-4208

Ph: (929) 491-7700

NPI Details:

NPI Number1811631591
Provider Enumeration Date04/27/2022
Last Update Date10/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1951788256
Medicare Enrollment IDO20220505002450

Medical Identifiers

Medical identifiers for Renew Wound Care Of Florida Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811631591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
163WW0000XRegistered Nurse - Wound Care (* (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. Renew Wound Care Of Florida Llc acts as a billing entity for following providers:
Provider NameFrances Vitalis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356446116
PECOS PAC ID: 5193793651
Enrollment ID: I20040922000465
Provider NameJill Marie Marshall Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205877560
PECOS PAC ID: 2466408844
Enrollment ID: I20050330000118
Provider NameVirginia R Lemoyne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699905240
PECOS PAC ID: 7618014705
Enrollment ID: I20091021000844
Provider NameDenise A Quallo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528477411
PECOS PAC ID: 8729383633
Enrollment ID: I20160301001155
Provider NameCharles Keefer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861935967
PECOS PAC ID: 7315227972
Enrollment ID: I20161217000077
Provider NameBrenda Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114472834
PECOS PAC ID: 7214210970
Enrollment ID: I20170203001866
Provider NameMarilyn Bellamy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891241535
PECOS PAC ID: 7517236615
Enrollment ID: I20170705002873
Provider NameKenneth Phillip Additon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528589173
PECOS PAC ID: 7517223761
Enrollment ID: I20171106000038
Provider NameSandra J Northway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487166021
PECOS PAC ID: 7416219225
Enrollment ID: I20180314001864
Provider NameDianna G Dashner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235388448
PECOS PAC ID: 5193087682
Enrollment ID: I20180321001005
Provider NameWilda Isnor Piquion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326564931
PECOS PAC ID: 4880940006
Enrollment ID: I20180702000715
Provider NameSheron J Farinha Spence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972991123
PECOS PAC ID: 9638495641
Enrollment ID: I20180917000472
Provider NameNatacha Blanchet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346718947
PECOS PAC ID: 8921344359
Enrollment ID: I20190107001083
Provider NameNancy Ayad
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679935217
PECOS PAC ID: 0446589402
Enrollment ID: I20190917001829
Provider NameNordian Shanae Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720624372
PECOS PAC ID: 1153750393
Enrollment ID: I20200409000188
Provider NameBrenda Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073158747
PECOS PAC ID: 6204266778
Enrollment ID: I20200423002605
Provider NameLyse N Laurin-pierre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265751853
PECOS PAC ID: 1456584200
Enrollment ID: I20200514000718
Provider NameMelanie A Manney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124584297
PECOS PAC ID: 2769526268
Enrollment ID: I20200528000178
Provider NameMaureen A Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356827554
PECOS PAC ID: 1557784311
Enrollment ID: I20200713000887
Provider NameDeshawn Deloris Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508409855
PECOS PAC ID: 8628494143
Enrollment ID: I20200814000969
Provider NameTiffany Varela Khan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205451705
PECOS PAC ID: 4284044256
Enrollment ID: I20201103000062
Provider NameMolly K Bryant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619580842
PECOS PAC ID: 0244641843
Enrollment ID: I20201203001893
Provider NameRenny Kuriakose Thoppil Wattkis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710517438
PECOS PAC ID: 7618385311
Enrollment ID: I20210419001306
Provider NameDiadema Barefield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407424294
PECOS PAC ID: 1850795311
Enrollment ID: I20210804004076
Provider NameLisa M Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043838451
PECOS PAC ID: 6901296243
Enrollment ID: I20211201000904
Provider NameMichelle A Rebello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083189138
PECOS PAC ID: 0143560581
Enrollment ID: I20220126001215
Provider NameLillian Christine Mack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275296055
PECOS PAC ID: 3971997354
Enrollment ID: I20220301000822
Provider NameMaky Suarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457803637
PECOS PAC ID: 3072981281
Enrollment ID: I20221118002767
Provider NameYanet Carballosa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932828308
PECOS PAC ID: 8325418262
Enrollment ID: I20230110001862
Provider NameGertrudis Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144887589
PECOS PAC ID: 9931570231
Enrollment ID: I20230124003608
Provider NameArdo Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427758689
PECOS PAC ID: 7012382138
Enrollment ID: I20230403002055
Provider NameWilfredo Wong Jaropillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780369009
PECOS PAC ID: 4789043530
Enrollment ID: I20230711003216
Provider NameAntonio Roki
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548835176
PECOS PAC ID: 6507266970
Enrollment ID: I20231110000086
Provider NameKristy L Maracle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184309379
PECOS PAC ID: 0446608392
Enrollment ID: I20231202000762
Provider NameMarco T Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861191926
PECOS PAC ID: 2365890258
Enrollment ID: I20231204001399
Provider NameSavannah Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467123745
PECOS PAC ID: 5395128003
Enrollment ID: I20231205002700
Provider NameCarin Melanie Calabrese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023899572
PECOS PAC ID: 5799228847
Enrollment ID: I20240618002204
Provider NameNoslen Perez Machado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053034512
PECOS PAC ID: 2860927456
Enrollment ID: I20241119003328
Provider NameAlain Portal Menendez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891410353
PECOS PAC ID: 5294265641
Enrollment ID: I20250213003687
Provider NameMarie M Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073335006
PECOS PAC ID: 7214458934
Enrollment ID: I20250310002844

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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.