| On Demand Neurology Pa | |
|
113 S Monroe St Fl 1 Tallahassee FL 32301-1529 | |
| (650) 387-6322 | |
| Not Available |
| Full Name | On Demand Neurology Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 113 S Monroe St Fl 1, Tallahassee, Florida |
| Authorized Official Name and Position | Elizabeth Burstein (OFFICER) |
| Authorized Official Contact | 8482721134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Demand Neurology Pa 335 Madison Ave Fl 4 New York NY 10017-4675 Ph: (313) 887-0960 | On Demand Neurology Pa 113 S Monroe St Fl 1 Tallahassee FL 32301-1529 Ph: (650) 387-6322 |
| NPI Number | 1265016174 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 08/20/2025 |
| Certification Date | 08/20/2025 |
| Medicare PECOS PAC ID | 5890180988 |
|---|---|
| Medicare Enrollment ID | O20220329000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265016174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Tressie D Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730457565 PECOS PAC ID: 7416123799 Enrollment ID: I20201006001252 |
| Provider Name | Thomas Berk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871886259 PECOS PAC ID: 2567752215 Enrollment ID: I20211124001093 |
| Provider Name | Sumeet Vadera |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629248380 PECOS PAC ID: 3072767730 Enrollment ID: I20220329000850 |
| Provider Name | Collins Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851547459 PECOS PAC ID: 4082870860 Enrollment ID: I20240717004371 |
| Provider Name | Ramon Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710491519 PECOS PAC ID: 3375806375 Enrollment ID: I20240730000329 |
| Provider Name | Leslie Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255994166 PECOS PAC ID: 9436485448 Enrollment ID: I20250508000724 |
| Provider Name | Diana Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417228727 PECOS PAC ID: 1456594498 Enrollment ID: I20250516001693 |
| Provider Name | Ashley Schnackenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518309673 PECOS PAC ID: 6002042207 Enrollment ID: I20250521002020 |
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