Black Bag Medical Inc
A Medicare group practice based in Jacksonville, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5698777100), with 17 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5698777100
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20070213000591 | FL | Part B Supplier - Clinic/Group Practice | 1750440988 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Black Bag Medical Inc
- Family Medicine Physician
- Jacksonville, FL
- NPI 1750440988
-
Kindred Hospitals East, LLC
dba Kindred Hospital - North Florida
- Long Term Care Hospital
- Green Cove Springs, FL
- NPI 1134204720
Practice locations
- Jacksonville, FL3
- Green Cove Springs, FL1
Clinicians 17
Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (3).
-
Estrella Baxter, APRN
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1588316749
-
Kisha Renee Black, APRN
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1760182893
-
Diana Budnik
- Nurse Practitioner
- Jacksonville, FL
- NPI 1891381133
-
Melissa Grubb
- Nurse Practitioner
- Jacksonville, FL
- NPI 1891465134
-
Neel Gobindram Karnani, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Jacksonville, FL
- NPI 1700846565
-
Tea Kuharic Stephens, MD
- Family Medicine Physician
- Jacksonville, FL
- NPI 1861613663
-
Nam-Phuong T. Lu, D.O.
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1356374946
-
Alison Elizabeth McCann
- Nurse Practitioner
- St Augustine, FL
- NPI 1407646920
-
Anna Ruth-Mildred New
- Physician Assistant
- Jacksonville, FL
- NPI 1831613165
-
Amber Lynn Ott, APRN
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1760218150
-
Nicole Marie Robertson, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1740061993
-
Georganna Michelle Rosel, M.D.
- Emergency Medicine Physician
- Knoxville, TN
- NPI 1033436696
-
Carol Christine Schindler, APRN
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1356977888
-
Sharon Schwartz, R.N.
- Acute Care Nurse Practitioner
- Middleburg, FL
- NPI 1639557572
-
Brian Layne Stephens, MD
- Family Medicine Physician
- Jacksonville, FL
- NPI 1295761245
-
Sydney Tyre
- Family Nurse Practitioner
- Middleburg, FL
- NPI 1013862036
-
Amy Michelle Venturello, APRN
- Family Nurse Practitioner
- Callahan, FL
- NPI 1578345559
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.