Shands Jacksonville Medical Center Inc

A Medicare group practice based in Jacksonville, FL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 2365456258), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365456258The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Home Health Agency, Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
FL
Enrollments
6
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
57In 8 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20100930041539 FL DME Supplier - Pharmacy 1639267222
O20230831001688 FL Part B Supplier - Pharmacy 1639267222
O20180302000276 FL Part B Supplier - Clinic/Group Practice 1851892467
O20060131000121 FL Part A Provider - Hospital 1821186313
O20080519000731 FL Part A Provider - Skilled Nursing Facility 1730277229
O20080521000212 FL Part A Provider - Home Health Agency 1669563557

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (12).

Sources for this page