| Coastal Complete Care, Pa | |
|
100 Plantation Rd Perry FL 32348-6000 | |
| (850) 584-6000 | |
| Not Available |
| Full Name | Coastal Complete Care, Pa |
|---|---|
| Speciality | Chiropractor |
| Location | 100 Plantation Rd, Perry, Florida |
| Authorized Official Name and Position | Jamie Portwood (BILLING MANAGER) |
| Authorized Official Contact | 8505846000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Complete Care, Pa 100 Plantation Rd Perry FL 32348-6000 Ph: (850) 584-6000 | Coastal Complete Care, Pa 100 Plantation Rd Perry FL 32348-6000 Ph: (850) 584-6000 |
| NPI Number | 1720483043 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 8921323247 |
|---|---|
| Medicare Enrollment ID | O20150209001329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720483043 | NPI | - | NPPES |
| Provider Name | Diane Dodgen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134117385 PECOS PAC ID: 8426962176 Enrollment ID: I20071121000031 |
| Provider Name | Wesley S Bethea |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376613844 PECOS PAC ID: 8820037336 Enrollment ID: I20080621000004 |
| Provider Name | Hillary W Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932344181 PECOS PAC ID: 6002973666 Enrollment ID: I20090325000748 |
| Provider Name | Kristen Taylor Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811456189 PECOS PAC ID: 8628408218 Enrollment ID: I20200422002375 |
Coastal Complete Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-584-6000 Fax: 850-584-6001 | |
Doctors' Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 S Jefferson St, Perry, FL 32348 Phone: 850-838-2323 Fax: 850-838-2333 | |
Perry Chiropractic Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 N Orange St, Perry, FL 32347 Phone: 850-584-7117 Fax: 850-584-7119 | |
Diane A Schlick Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 S Jefferson St, Perry, FL 32347 Phone: 850-584-5876 Fax: 850-584-4939 | |
Doctors Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-838-2121 Fax: 850-838-1842 | |
North Florida Medical Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1850 S Byron Butler Pkwy, Perry, FL 32348 Phone: 850-838-2030 Fax: 850-838-2040 | |
Gainesville Vamc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 N Peacock Ave, Perry, FL 32347 Phone: 866-793-4591 |