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
- 2365456258
- 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 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 57
Enrollment records 6
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| 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 RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Shands Jacksonville Medical Center Inc
dba Shands Jacksonville Ambulatory Pharmacy
- Pharmacy
- Jacksonville, FL
- NPI 1639267222
-
Shands Jacksonville Medical Center Inc
- Home Health Agency
- Jacksonville, FL
- NPI 1669563557
-
Shands Jacksonville Medical Center Inc
dba Shands Jacksonville Skilled Nursing Unit
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1730277229
-
Shands Jacksonville Medical Center Inc
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
-
Shands Jacksonville Medical Center Inc
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1851892467
-
Shands Jacksonville Medical Center Inc
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Practice locations
- Jacksonville, FL43
- Orange Park, FL4
- Fernandina Beach, FL4
- Yulee, FL2
- Palatka, FL1
- Middleburg, FL1
- Jacksonville Beach, FL1
- Fleming Island, FL1
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (12).
-
Dimitrios Philippes Agaliotis, MD
- Hematology & Oncology Physician
- Fernandina Beach, FL
- NPI 1790764272
-
Carlos M Castillo, MD
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1922095884
-
Alena Figueroa
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1326778796
-
James Ryland Flythe
- Physician Assistant
- Jacksonville, FL
- NPI 1942993670
-
Troy H Guthrie Jr., MD
- Medical Oncology Physician
- Jacksonville, FL
- NPI 1073500328
-
Peter Edward Hakos, PA-C
- Physician Assistant
- Jacksonville, FL
- NPI 1942611991
-
Jeffrey M Harris, MD
- Hematology & Oncology Physician
- Orange Park, FL
- NPI 1225025182
-
Jason Desmond Hew, M.D.
- Medical Oncology Physician
- Jacksonville, FL
- NPI 1083904197
-
Meet Atul Kadakia, MD
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1023470713
-
Marija Glodevic Kantarevic, APRN
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1609649235
-
Mohammad Asif Khan, M.D.
- Medical Oncology Physician
- Jacksonville, FL
- NPI 1669525333
-
Mathew Luke, MD
- Hematology & Oncology Physician
- Fernandina Beach, FL
- NPI 1790772044
-
Yan G Makeyev, MD
- Hematology & Oncology Physician
- Orange Park, FL
- NPI 1386812253
-
Joseph Mignone, MD
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1154318012
-
Johanna Mercedez Russell, APRN
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1205308640
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.