DR. COLETTE HAWTHORNE MD NPI 1487749412

Internal Medicine in Jacksonville, FL

NPI 1487749412 Individual Female Internal Medicine PECOS Enrolled

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 NameDR. COLETTE HAWTHORNE MD
Provider Location Address1833 BOULEVARD JACKSONVILLE, FL 32206
Provider Mailing Address1833 BOULEVARD STREET NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM JACKSONVILLE, FL 32206
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-04-2006
Last Update Date09-25-2012


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.25937
License StateKY
Taxonomy DescriptionA 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

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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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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
64259377MEDICAID (05)KY
0054600MEDICARE ID-TYPE UNSPECIFIED (04)
E01384MEDICARE 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 Medicine1833 BOULEVARD VA OUTPATIENT CLINIC
JACKSONVILLE, FL 32206
(904) 232-2751
1497757827DR. HOLLY LOUISE HANCOCK MD
Individual
Internal Medicine (Cardiovascular Disease)1833 BOULEVARD VA OUTPATIENT CLINIC, CARDIOLOGY
JACKSONVILLE, FL 32206
(904) 232-2751
1366436982MR. BRUCE D JEFFRIES DO
Individual
Family Medicine1833 BOULEVARD
JACKSONVILLE, FL 32206
(352) 335-9100
1518958081 BRENDA R. WILLIAMS
Individual
Pharmacist1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1902852106DR. MICHAEL LEE SANDS MD
Individual
Internal Medicine (Infectious Disease)1833 BOULEVARD SUITE 500
JACKSONVILLE, FL 32206
(904) 665-3040
1316970965MRS. ARLIENE J OVERSTREET PA-C
Individual
Physician Assistant1833 BOULEVARD METHODIST PROFESSIONAL BUILDING
JACKSONVILLE, FL 32206
(904) 232-2751
1144245325DR. STEVEN ALLAN SCHENKER M.D.
Individual
Internal Medicine1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1972528354DR. MOHAMMAD A AYUBI M.D.
Individual
Psychiatry & Neurology (Psychiatry)1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1093730764DR. EDWARD DOUGLAS LYLE II DPT/MOT
Individual
Physical Therapist1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1922027226MR. CHARLES AUGUST HAASIS MSW
Individual
Social Worker (Clinical)1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1558378190DR. CRAIG KIRK BROCKUNIER
Individual
Psychiatry & Neurology (Psychiatry)1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1194733477DR. PETER ADAMS MCCRANIE M.D.
Individual
Obstetrics & Gynecology1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1114935889DR. SUMNER C KRAFT M.D.
Individual
Internal Medicine1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1669482584 SUE A HAASIS R.D., L.D.
Individual
Dietitian, Registered1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1780799395DR. JUDITH ANN HARRISON MD
Individual
Internal Medicine (Geriatric Medicine)1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1407963929DR. CHARLES HAMPTON FARR MD
Individual
Family Medicine1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1093825564DR. RICHARD MICHAEL MC GHAY DDS.
Individual
Dentist1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1972613974 VIVILORIA FRAZIER B.S.
Individual
Pharmacist (Pharmacotherapy)1833 BOULEVARD
JACKSONVILLE, FL 32206
(904) 232-2751
1427168699DR. MARCO DAVID RAND D.M.D.
Individual
Dentist (General Practice)1833 BOULEVARD VA OUTPATIENT CLINIC
JACKSONVILLE, FL 32206
(904) 232-2751
1962514612DR. RONALD JAMES STEPHENS M.D.
Individual
Internal Medicine1833 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.