St Vincents Primary Care - Medicare Primary Care in Jacksonville, FL

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St Vincents Primary Care is a medicare enrolled primary clinic (Clinic/center) in Jacksonville, Florida. The current practice location for St Vincents Primary Care is 2627 Riverside Ave, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 308-7372. The mailing address for St Vincents Primary Care is 2627 Riverside Ave, Jacksonville, Florida and phone number is (904) 308-7372.

St Vincents Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477878486. 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) 308-7372.

Contact Information

St Vincents Primary Care
2627 Riverside Ave
Jacksonville
FL 32204-4712
(904) 308-7372
(904) 308-6909

Map and Direction


Primary Care Clinic Profile

Full NameSt Vincents Primary Care
SpecialityClinic/Center
Location2627 Riverside Ave, Jacksonville, Florida
Authorized Official Name and PositionGene Miyamoto (SYSTEM COO)
Authorized Official Contact9043081290
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St Vincents Primary Care
2627 Riverside Ave
Jacksonville
FL 32204-4712

Ph: (904) 308-7372		St Vincents Primary Care
2627 Riverside Ave
Jacksonville
FL 32204-4712

Ph: (904) 308-7372

NPI Details:

NPI Number1477878486
Provider Enumeration Date04/01/2010
Last Update Date09/02/2010

Medicare PECOS Information:

Medicare PECOS PAC ID2668664962
Medicare Enrollment IDO20101005000809

Medical Identifiers

Medical identifiers for St Vincents Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477878486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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. St Vincents Primary Care acts as a billing entity for following providers:
Provider NameTonya N Hollinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053366906
PECOS PAC ID: 7517870892
Enrollment ID: I20031112000199
Provider NameLeslie B Beadling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548247182
PECOS PAC ID: 6002892445
Enrollment ID: I20040626000436
Provider NameJairo A De La Hoz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972528545
PECOS PAC ID: 7911967971
Enrollment ID: I20050706001117
Provider NameWillie A Pennick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568426302
PECOS PAC ID: 2365471711
Enrollment ID: I20050806000017
Provider NameMarkus K Sonntag
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942216031
PECOS PAC ID: 6103802822
Enrollment ID: I20050823000409
Provider NameArthur Schueler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114991833
PECOS PAC ID: 4183656937
Enrollment ID: I20050901000383
Provider NameRichard J Flynn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053322289
PECOS PAC ID: 9234143876
Enrollment ID: I20060202000536
Provider NameVickie A Prince
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528081510
PECOS PAC ID: 2466550751
Enrollment ID: I20070611000329
Provider NameMark A Zoller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558399469
PECOS PAC ID: 5193823359
Enrollment ID: I20070612000214
Provider NameZwinda S Ortiz-roldan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609838127
PECOS PAC ID: 7517065709
Enrollment ID: I20070612000571
Provider NameUlises M Caraballo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962464461
PECOS PAC ID: 5597731505
Enrollment ID: I20070719000104
Provider NameGerald Giurato
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205837028
PECOS PAC ID: 3870694953
Enrollment ID: I20070719000142
Provider NameMichael V Sharpe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750382669
PECOS PAC ID: 7214846526
Enrollment ID: I20070719000176
Provider NameBarbara Cruikshank
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053463075
PECOS PAC ID: 6406957547
Enrollment ID: I20070719000547
Provider NameGeorge E Platt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700881158
PECOS PAC ID: 3971604018
Enrollment ID: I20070719000601
Provider NameWilla J Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427198530
PECOS PAC ID: 2365543998
Enrollment ID: I20070725000733
Provider NameMarilyn Margarita Rodriguez Ballard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902970007
PECOS PAC ID: 8527151224
Enrollment ID: I20070911000985
Provider NameWilliam I Schwartz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659479764
PECOS PAC ID: 2264328525
Enrollment ID: I20080731000554
Provider NamePaula Salas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558528026
PECOS PAC ID: 0143377333
Enrollment ID: I20090403000305
Provider NameMark Anthony Stawara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033168539
PECOS PAC ID: 5698807147
Enrollment ID: I20100719000443
Provider NameGina M Mele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467772780
PECOS PAC ID: 6406970557
Enrollment ID: I20100826000791
Provider NameHeber J Rosa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952306607
PECOS PAC ID: 8123210309
Enrollment ID: I20101006000521
Provider NameJonathan M Divine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710173968
PECOS PAC ID: 9133311368
Enrollment ID: I20101006001053
Provider NameBarbara A Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396041547
PECOS PAC ID: 4880879725
Enrollment ID: I20110419000869
Provider NamePrema L Ramsahai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578727905
PECOS PAC ID: 4880865807
Enrollment ID: I20110923000429
Provider NameAllison H Mabus
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578727970
PECOS PAC ID: 9234300120
Enrollment ID: I20110926000733
Provider NameJennifer L Stone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003010307
PECOS PAC ID: 6305993254
Enrollment ID: I20120430000259
Provider NameJoanna H Schneider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174804017
PECOS PAC ID: 1355507278
Enrollment ID: I20120723000159
Provider NameMatthew T Braddock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417180886
PECOS PAC ID: 8224284922
Enrollment ID: I20120813000457
Provider NameDebora C Gay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932134673
PECOS PAC ID: 9436394186
Enrollment ID: I20130328000363
Provider NameManoj M Pulicottil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306877972
PECOS PAC ID: 7416995055
Enrollment ID: I20130813000923
Provider NameQuincy A Scarborough
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003137852
PECOS PAC ID: 0345482774
Enrollment ID: I20130814000017
Provider NameLindsey E Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861824815
PECOS PAC ID: 8426286626
Enrollment ID: I20140115001391
Provider NameKathryn H Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528484318
PECOS PAC ID: 3173756640
Enrollment ID: I20140507002144

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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.