Active NPI
Cherilyn Patrice Hanna Mahase, MBBS MD FACP
- Internal Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME128822
- Practice address
- 6841 Blanding Blvd
Jacksonville, FL 32244-4418 - Phone
- (904) 862-2175
- Fax
- (904) 862-2330
- NPI assigned
- Dec 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 128822 | FL | |
| Pediatrics Physician | 208000000X | 128822 | FL | |
| Internal Medicine Physician | 207R00000X | ME128822 | FL | Primary |
Addresses
Primary practice location
6841 Blanding Blvd
Jacksonville, FL 32244-4418
Mailing address
6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone (904) 862-2175
Other practice location 1
7 Alexander Street
Nassau, New Providence SP60604
BS
Phone (242) 328-8716
Other names 1
- Dr. Cherilyn Patrice Hanna Mahase
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21 Hospital Dr
Suite 170a
Palm Coast, FL 32164-2454
Phone (386) 586-7373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME128822 | FL | MD | Internal Medicine Physician |
| 128822 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Dedicated Physicians Group of Tennessee, PLLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Dedicated Physicians Group of Tennessee, PLLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Past | Accepting new patients |
Locations
6841 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 862-2175
3614 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 419-7100
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
4613 S Orange Blossom Trl
Orlando, FL 32839
Phone (407) 232-9829
2724 N Hiawassee Rd
Ste 100
Orlando, FL 32818
Phone (407) 906-0082
1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777
2252 Lamar Ave
Memphis, TN 38114
Phone (901) 671-1800
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
- Non-Pharmacy Dispensing Site
- Miami, FL
- NPI 1174144695
TN
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Specialist
- Tampa, FL
- NPI 1700393881
-
- Non-Pharmacy Dispensing Site
- Memphis, TN
- NPI 1922634575
-
- Non-Pharmacy Dispensing Site
- Orlando, FL
- NPI 1518593177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1457896557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6841 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322444418",
"telephone_number": "904-862-2175",
"fax_number": "904-862-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6841 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322444418",
"telephone_number": "904-862-2175",
"fax_number": "904-862-2330"
}
],
"practiceLocations": [
{
"address_1": "7 Alexander Street",
"address_purpose": "LOCATION",
"city": "Nassau",
"state": "New Providence",
"postal_code": "SP60604",
"country_code": "BS",
"telephone_number": "242-328-8716",
"fax_number": "242-328-8719",
"country_name": "Bahamas",
"address_type": "FGN"
}
],
"basic": {
"last_name": "HANNA MAHASE",
"first_name": "CHERILYN",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "MBBS MD FACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-27",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "128822",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "128822",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME128822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERILYN",
"last_name": "HANNA MAHASE",
"middle_name": "PATRICE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.