| Dr Peter C Debelius-enemark, MD | |
|
1407 M D Ln Ste A, Tallahassee, FL 32308-5349 | |
| (850) 877-0635 | |
| (850) 205-0195 |
| Full Name | Dr Peter C Debelius-enemark |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 44 Years |
| Location | 1407 M D Ln Ste A, Tallahassee, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376593913 | NPI | - | NPPES |
| 262880500 | Medicaid | FL | |
| 15126 | Other | FL | BLUECROSSBLUESHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0061863 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tallahassee Brain Stimulation Center Llc | 1254634090 | 2 |
| Jeffrey Ferraro, Llc | 6608097308 | 27 |
| Psychiatry Associates Of Tallahassee, Llc | 7517221187 | 6 |
| Entity Name | Jeffrey Ferraro, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841694957 PECOS PAC ID: 6608097308 Enrollment ID: O20141022000896 |
| Entity Name | Tallahassee Brain Stimulation Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851769244 PECOS PAC ID: 1254634090 Enrollment ID: O20160128000372 |
| Entity Name | Psychiatry Associates Of Tallahassee, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013417187 PECOS PAC ID: 7517221187 Enrollment ID: O20180507001836 |
| Entity Name | Dr Peter Debelius-enemark Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023897378 PECOS PAC ID: 4981144383 Enrollment ID: O20240912001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter C Debelius-enemark, MD 2606 Centennial Pl, Tallahassee, FL 32308-0572 Ph: (850) 205-0189 | Dr Peter C Debelius-enemark, MD 1407 M D Ln Ste A, Tallahassee, FL 32308-5349 Ph: (850) 877-0635 |
Frank Andrew Kozel, MD MSCR Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 W Call St, Tallahassee, FL 32304 Phone: 850-644-1855 | |
Ms. Allesa Jackson English, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2606 Centennial Pl, Tallahassee, FL 32308 Phone: 850-205-0189 Fax: 850-329-2903 | |
Jessica Ashley Marz, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 N Monroe St Ste 800 (private Office 860), Tallahassee, FL 32301 Phone: 833-351-8255 | |
Eileen Fitzgerald Venable, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2606 Centennial Pl, Tallahassee, FL 32308 Phone: 850-205-0189 | |
Dr. Lauren Lea Wilson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1407 M D Ln Ste B, Tallahassee, FL 32308 Phone: 850-641-7961 Fax: 850-312-3983 | |
Patricia De La Cabada, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 N Monroe St, Tallahassee, FL 32301 Phone: 833-351-8255 | |
Ms. Connie Lou Speer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1407 M D Ln, Ste A, Tallahassee, FL 32308 Phone: 850-877-1746 Fax: 850-877-8215 |