Clearwater Family Medicine And Allergy, Pa is a medicare enrolled "Allergy & Immunology" provider in Clearwater, Florida. Their current practice location is
708 Druid Rd E, Clearwater, Florida. You can reach out to their office (for appointments etc.) via phone at
(727) 446-1097.
Clearwater Family Medicine And Allergy, Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Clearwater Family Medicine And Allergy, Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316255128.
Healthcare Provider's Profile
| Full Name | Clearwater Family Medicine And Allergy, Pa |
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| Type | Facility |
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| Speciality | Allergy & Immunology |
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| Location | 708 Druid Rd E, Clearwater, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316255128
- Provider Enumeration Date: 09/15/2010
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800912114
- Enrollment ID: O20100923001233
Medical Identifiers
Medical identifiers for Clearwater Family Medicine And Allergy, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316255128 | NPI | - | NPPES |
| 009813800 | Medicaid | FL | |
| 038210200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 174400000X | Specialist | ME0025848 (Florida) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Primary |
| 207KA0200X | Allergy & Immunology - Allergy | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Clearwater Family Medicine And Allergy, Pa acts as a billing entity for following providers:
| Provider Name | Joel W Phillips |
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| Provider Type | Practitioner - Allergy/immunology |
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| Provider Identifiers | NPI Number: 1083724207
PECOS PAC ID: 7618093923
Enrollment ID: I20100928001412 |
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| Provider Name | Melissa R Autieri |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1215921366
PECOS PAC ID: 1153514617
Enrollment ID: I20101018000446 |
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| Provider Name | Kerry Reller |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1649513276
PECOS PAC ID: 8820397854
Enrollment ID: I20160819000650 |
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| Provider Name | Christina Leann Taylor |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1194443036
PECOS PAC ID: 2860856564
Enrollment ID: I20230913004294 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clearwater Family Medicine And Allergy, Pa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Clearwater Family Medicine And Allergy, Pa
708 Druid Rd E,
Clearwater, FL 33756-3914
Ph: (727) 446-1097 | Clearwater Family Medicine And Allergy, Pa
708 Druid Rd E,
Clearwater, FL 33756-3914
Ph: (727) 446-1097 |
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