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James Samuel Scolapio

Internal Medicine

Allopathic & Osteopathic Physicians

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as JAMES SCOLAPIO.

Based on the most recent information from CMS, provider James Samuel Scolapio 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 12:57 PM.

Profile Details

Provider ID
1689663569
Provider Type
Individual
Full Name
Scolapio, James Samuel
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/13/2005
Last Updated
1/3/2011

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME65964 Florida

Provider Identifiers

ID	Description	Issuer
ID 100006067	Description Other	Issuer RAILROAD MEDICARE Florida
ID 268774700	Description Medicaid	Issuer Unlisted Florida
ID 25376	Description Other	Issuer BLUECROSS/BLUESHIELD Florida

James Samuel Scolapio

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

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Yang, Liu