DR. COLETTE HAWTHORNE MD NPI 1487749412
Internal Medicine in Jacksonville, FL
About COLETTE HAWTHORNE
Colette Hawthorne is an internal medicine provider established in Jacksonville, Florida and her medical specialization is internal medicine. The NPI number of Colette Hawthorne is 1487749412 and was assigned on October 2006. The practitioner's primary taxonomy code is 207R00000X with license number 25937 (KY). The provider is registered as an individual and her NPI record was last updated 10 years ago.
An internist like Dr. Colette Hawthorne Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Colette Hawthorne is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Colette Hawthorne is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1487749412 |
| Provider Name | DR. COLETTE HAWTHORNE MD |
| Provider Location Address | 1833 BOULEVARD JACKSONVILLE, FL 32206 |
| Provider Mailing Address | 1833 BOULEVARD STREET NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM JACKSONVILLE, FL 32206 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-04-2006 |
| Last Update Date | 09-25-2012 |
Primary Taxonomy
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 25937 |
| License State | KY |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Business Address
DR. COLETTE HAWTHORNE MD
1833 BOULEVARD
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 232-2751
Mailing Address
DR. COLETTE HAWTHORNE MD
1833 BOULEVARD STREET
NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 232-2751
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 64259377 | MEDICAID (05) | KY |
| 0054600 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| E01384 | MEDICARE UPIN (02) | KY |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740289180 | SIDDIQA K KHAN MD Individual | Family Medicine | 1833 BOULEVARD VA OUTPATIENT CLINIC JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1497757827 | DR. HOLLY LOUISE HANCOCK MD Individual | Internal Medicine (Cardiovascular Disease) | 1833 BOULEVARD VA OUTPATIENT CLINIC, CARDIOLOGY JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1366436982 | MR. BRUCE D JEFFRIES DO Individual | Family Medicine | 1833 BOULEVARD JACKSONVILLE, FL 32206 (352) 335-9100 |
| 1518958081 | BRENDA R. WILLIAMS Individual | Pharmacist | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1902852106 | DR. MICHAEL LEE SANDS MD Individual | Internal Medicine (Infectious Disease) | 1833 BOULEVARD SUITE 500 JACKSONVILLE, FL 32206 (904) 665-3040 |
| 1316970965 | MRS. ARLIENE J OVERSTREET PA-C Individual | Physician Assistant | 1833 BOULEVARD METHODIST PROFESSIONAL BUILDING JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1144245325 | DR. STEVEN ALLAN SCHENKER M.D. Individual | Internal Medicine | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1972528354 | DR. MOHAMMAD A AYUBI M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1093730764 | DR. EDWARD DOUGLAS LYLE II DPT/MOT Individual | Physical Therapist | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1922027226 | MR. CHARLES AUGUST HAASIS MSW Individual | Social Worker (Clinical) | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1558378190 | DR. CRAIG KIRK BROCKUNIER Individual | Psychiatry & Neurology (Psychiatry) | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1194733477 | DR. PETER ADAMS MCCRANIE M.D. Individual | Obstetrics & Gynecology | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1114935889 | DR. SUMNER C KRAFT M.D. Individual | Internal Medicine | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1669482584 | SUE A HAASIS R.D., L.D. Individual | Dietitian, Registered | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1780799395 | DR. JUDITH ANN HARRISON MD Individual | Internal Medicine (Geriatric Medicine) | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1407963929 | DR. CHARLES HAMPTON FARR MD Individual | Family Medicine | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1093825564 | DR. RICHARD MICHAEL MC GHAY DDS. Individual | Dentist | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1972613974 | VIVILORIA FRAZIER B.S. Individual | Pharmacist (Pharmacotherapy) | 1833 BOULEVARD JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1427168699 | DR. MARCO DAVID RAND D.M.D. Individual | Dentist (General Practice) | 1833 BOULEVARD VA OUTPATIENT CLINIC JACKSONVILLE, FL 32206 (904) 232-2751 |
| 1962514612 | DR. RONALD JAMES STEPHENS M.D. Individual | Internal Medicine | 1833 BOULEVARD VETERANS AFFAIRS MEDICAL CLINIC JACKSONVILLE, FL 32206 (904) 232-2751 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.