Physician Compare National (NPI:1609239292)

HEALTHCARE PROVIDER: RACHAEL L JEAN-CLAUDE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609239292
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395019913
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190918003038
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JEAN-CLAUDE
	Individual professional last name
Provider First Name	RACHAEL
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BAYCARE MEDICAL GROUP, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6406753623
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	627
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	12780 RACE TRACK RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	TAMPA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	336261395
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPHS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y