Prabhav Vasistha, MBBS - Medicare Internal Medicine in Jacksonville, FL

Prabhav Vasistha, MBBS is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Jacksonville, Florida. His current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 953-2000.

Prabhav Vasistha is licensed to practice in Florida (license number ME162556) 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 1801400148.

Contact Information

Prabhav Vasistha, MBBS
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available



Physician's Profile

Full NamePrabhav Vasistha
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801400148
  • Provider Enumeration Date: 09/03/2020
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416361563
  • Enrollment ID: I20210201000834

Medical Identifiers

Medical identifiers for Prabhav Vasistha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801400148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine ME162556 (Florida)Primary

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. Prabhav Vasistha 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
Prabhav Vasistha, MBBS
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000
Prabhav Vasistha, MBBS
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

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Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Michelle Tulang, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Minnsun Koh Park, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3900 University Blvd S, Jacksonville, FL 32216
Phone: 904-222-6656    
Sandrela Mussallam Abu Shaibeh,
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207
Phone: 904-202-3860    Fax: 904-202-3846
Krunal Patel, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256
Phone: 904-398-7205    Fax: 904-396-4047
Zaid Abdel Rahman, M.D.
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Sina O'sullivan, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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