Jacobo Elgozy M.d.p.a - Medicare Primary Care in Hollywood, FL

Jacobo Elgozy M.d.p.a is a medicare enrolled primary clinic (Internal Medicine) in Hollywood, Florida. The current practice location for Jacobo Elgozy M.d.p.a is 7191 Taft St, Hollywood, Florida. For appointments, you can reach them via phone at (646) 401-2389. The mailing address for Jacobo Elgozy M.d.p.a is 2350 N University Dr # 840736, Pembroke Pines, Florida and phone number is (646) 401-2389.

Jacobo Elgozy M.d.p.a is licensed to practice in Florida (license number OS-10059). The clinic also participates in the medicare program and its NPI number is 1073741963. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (646) 401-2389.

Contact Information

Jacobo Elgozy M.d.p.a
7191 Taft St
Hollywood
FL 33024-3805
(646) 401-2389
(305) 357-1678

Primary Care Clinic Profile

Full NameJacobo Elgozy M.d.p.a
SpecialityInternal Medicine
Location7191 Taft St, Hollywood, Florida
Authorized Official Name and PositionJacobo Elgozy (PRESIDENT)
Authorized Official Contact6464012389
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacobo Elgozy M.d.p.a
2350 N University Dr # 840736
Pembroke Pines
FL 33024-3614

Ph: (646) 401-2389
Jacobo Elgozy M.d.p.a
7191 Taft St
Hollywood
FL 33024-3805

Ph: (646) 401-2389

NPI Details:

NPI Number1073741963
Provider Enumeration Date06/30/2009
Last Update Date06/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6901942838
Medicare Enrollment IDO20091007000522

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Medical Identifiers

Medical identifiers for Jacobo Elgozy M.d.p.a such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073741963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OS-10059 (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. Jacobo Elgozy M.d.p.a acts as a billing entity for following providers:
Provider NameJacobo Elgozy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518165737
PECOS PAC ID: 1355437922
Enrollment ID: I20071011000514

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