DR. ERIC CHARLES PUESTOW MD
NPI 1255541512
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jacksonville, FL
NPI Status: Active since May 23, 2007
Contact Information
7746 MILLER OAKS DR W
JACKSONVILLE, FL
ZIP 32217
Phone: (904) 739-1255
- Individual
- Male
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
- Opted-Out Medicare
About ERIC PUESTOW
This page provides the complete NPI Profile along with additional information for Eric Puestow, an internist established in Jacksonville, Florida with a medical specialization in Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1255541512 assigned on May 2007. The practitioner's primary taxonomy code is 207RE0101X with license number 22498 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1255541512
- Provider Name
- DR. ERIC CHARLES PUESTOW MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7746 MILLER OAKS DR W JACKSONVILLE, FL 32217
- Location Phone
- (904) 739-1255
- Mailing Address
- 7746 MILLER OAKS DR W JACKSONVILLE, FL 32217
- Mailing Phone
- (904) 739-1255
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-23-2007
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Eric Puestow 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.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Eric Puestow opted out of Medicare effective on 11-10-2015 until 11-10-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22498
- License State
- FL
- Taxonomy Description
- An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22498 | OTHER (01) | FL | MEDICAL LICENSE NUMBER |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-10-2015
Opt-Out End Date: 11-10-2025
Eligible to Order and Refer? No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 5 | 4 | 1 | 5 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 10 | 4 | 2 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 0 + 4 + 2 + 5 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1255541512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255541512, enumerated in the NPI registry as an "individual" on May 23, 2007
The provider is located at 7746 Miller Oaks Dr W Jacksonville, Fl 32217 and the phone number is (904) 739-1255
The provider's speciality is Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on November 10, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 10, 2025.
This NPI record was last updated on May 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.