Dr Ghassan J Ghata, MD - Medicare Pediatrics in Jacksonville, FL

Dr Ghassan J Ghata, MD is a medicare enrolled "Pediatrics" physician in Jacksonville, Florida. His current practice location is 13770 Beach Blvd, Suit 6, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 330-0524.

Dr Ghassan J Ghata is licensed to practice in Florida (license number ME0026102) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013983063.

Contact Information

Dr Ghassan J Ghata, MD
13770 Beach Blvd, Suit 6,
Jacksonville, FL 32224-7205
(904) 330-0524
(904) 647-9491



Physician's Profile

Full NameDr Ghassan J Ghata
GenderMale
SpecialityPediatrics
Location13770 Beach Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013983063
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 05/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456399518
  • Enrollment ID: I20050419001331

Medical Identifiers

Medical identifiers for Dr Ghassan J Ghata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013983063NPI-NPPES
099154500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine ME0026102 (Florida)Secondary
208000000XPediatrics ME0026102 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ghassan J Ghata allows following entities to bill medicare on his behalf.
Entity NameSolantic Of Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271

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Entity NameAfc Physicians Of Florida, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205268208
PECOS PAC ID: 2769616762
Enrollment ID: O20131007000533

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ghassan J Ghata is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ghassan J Ghata, MD
13770 Beach Blvd, Suit 6,
Jacksonville, FL 32224-7205

Ph: (904) 330-0524
Dr Ghassan J Ghata, MD
13770 Beach Blvd, Suit 6,
Jacksonville, FL 32224-7205

Ph: (904) 330-0524

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› Verified 7 days ago


Pediatrics Doctors in Jacksonville, FL

Dr. Maryam Ooja Abubakar, MD, MPH
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 655 W 8th St, Jacksonville, FL 32209
Phone: 904-244-3508    
Dr. Mohamad Alasad Tolaymat, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207
Phone: 904-633-0920    Fax: 904-633-0921
Christopher Emanuel, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217
Phone: 904-731-3530    Fax: 904-737-1548
Bridget Sharrar,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223
Phone: 904-288-8910    Fax: 904-288-8912
Kelly Marie Summers, ARNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 807 Childrens Way, Jacksonville, FL 32207
Phone: 904-697-3600    
Yekaterina Jones, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207
Phone: 904-633-4199    Fax: 904-633-4188
Dr. Ronald P Carzoli Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204
Phone: 904-308-7994    

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