| Zhi Yu, MD, PLLC | |
|
4221 Stacey Rd E Jacksonville FL 32250-2100 | |
| (904) 226-0493 | |
| (904) 998-7322 |
| Full Name | Zhi Yu, MD, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4221 Stacey Rd E, Jacksonville, Florida |
| Authorized Official Name and Position | Zhi J Yu (PRESIDENT) |
| Authorized Official Contact | 9042260493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zhi Yu, MD, PLLC 4221 Stacey Rd E Jacksonville FL 32250-2100 Ph: (904) 226-0493 | Zhi Yu, MD, PLLC 4221 Stacey Rd E Jacksonville FL 32250-2100 Ph: (904) 226-0493 |
| NPI Number | 1316273535 |
|---|---|
| Provider Enumeration Date | 10/22/2009 |
| Last Update Date | 04/17/2019 |
| Medicare PECOS PAC ID | 7315113339 |
|---|---|
| Medicare Enrollment ID | O20111227000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316273535 | NPI | - | NPPES |
| 257417900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ARNP2007072 (Florida) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | ME76867 (Florida) | Primary |
| Provider Name | Zhi J Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861506644 PECOS PAC ID: 1153447461 Enrollment ID: I20100923001249 |
| Provider Name | Lolita C Massengill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871581660 PECOS PAC ID: 6204095417 Enrollment ID: I20120307000726 |
| Provider Name | Diana Medina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023419728 PECOS PAC ID: 4688895212 Enrollment ID: I20141024001077 |
| Provider Name | Candice Stephenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811375918 PECOS PAC ID: 4183936172 Enrollment ID: I20150706000507 |
| Provider Name | Angela L Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558788778 PECOS PAC ID: 4082919964 Enrollment ID: I20160302000564 |
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