| Dr Theresa Blaine Baker Payne, DO | |
|
180 Nw Haynes St, Madison, FL 32340-2010 | |
| (850) 973-1215 | |
| (866) 923-4163 |
| Full Name | Dr Theresa Blaine Baker Payne |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 180 Nw Haynes St, Madison, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306858956 | NPI | - | NPPES |
| 272752800 | Medicaid | FL | |
| P00281257 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | OS9255 (Florida) | Primary |
| 207Q00000X | Family Medicine | OS9255 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Tallahassee, FL | Home health agency |
| Madison County Memorial Hospital | Madison, FL | Hospital |
| Entity Name | Blaine Payne, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770943409 PECOS PAC ID: 5597048363 Enrollment ID: O20170202000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theresa Blaine Baker Payne, DO Po Box 185, Madison, FL 32341-0185 Ph: (850) 973-1215 | Dr Theresa Blaine Baker Payne, DO 180 Nw Haynes St, Madison, FL 32340-2010 Ph: (850) 973-1215 |
Adolfo Cardenas Dulay, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 228 Ne Hancock Ave, Madison, FL 32340 Phone: 850-973-2767 Fax: 850-973-8860 | |
Dr. Daniel B Perkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 486 Sw Rutledge St, Madison, FL 32340 Phone: 850-973-8851 Fax: 850-973-8365 | |
Dr. William R. Primas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 194 Ne Hancock Ave, Madison, FL 32340 Phone: 850-973-8851 Fax: 850-973-8365 |