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Joshua S Elder

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

PECOS Enrollment

This provider is enrolled in PECOS as JOSHUA ELDER.

Based on the most recent information from CMS, provider Joshua S Elder is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1144615725
Provider Type
Individual
Full Name
Elder, Joshua S
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/1/2015
Last Updated
7/10/2020

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 45443, Salt Lake City, UT 84145-0443

(904) 202-1032

(904) 376-4107

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME135727 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME135727 Florida

Provider Identifiers

ID	Description	Issuer
ID 100462300	Description Medicaid	Issuer Unlisted Florida
ID JL648	Description Other	Issuer MEDICARE Florida

Joshua S Elder

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

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Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Shah, Hardik C

Patel, Almaas Qamar

Rechcigl, Kevin T

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Shah, Faiza

Romanelli, Mathew Charles

Tran, Philip V

Roemer, Amy Elizabeth