Coastline Primary Care in Edgewater, FL - Medicare Family Medicine

Coastline Primary Care is a medicare enrolled primary clinic (Family Medicine - Adult Medicine) in Edgewater, Florida. The current practice location for Coastline Primary Care is 109 W Knapp Ave, Edgewater, Florida. For appointments, you can reach them via phone at (386) 957-4100. The mailing address for Coastline Primary Care is 109 W Knapp Ave, Edgewater, Florida and phone number is (386) 957-4100.

Coastline Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114572245. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (386) 957-4100.

Contact Information

	Coastline Primary Care
	109 W Knapp Ave Edgewater FL 32132-1555
	(386) 957-4100
	(386) 957-4104

Map and Direction

Primary Care Clinic Profile

Full Name	Coastline Primary Care
Speciality	Family Medicine
Location	109 W Knapp Ave, Edgewater, Florida
Authorized Official Name and Position	Carissa Peterson (OWNER/APRN)
Authorized Official Contact	3869574100
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Coastline Primary Care 109 W Knapp Ave Edgewater FL 32132-1555 Ph: (386) 957-4100	Coastline Primary Care 109 W Knapp Ave Edgewater FL 32132-1555 Ph: (386) 957-4100

NPI Details:

NPI Number	1114572245
Provider Enumeration Date	08/06/2019
Last Update Date	04/26/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	8123356946
Medicare Enrollment ID	O20190819000269

Medical Identifiers

Medical identifiers for Coastline Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114572245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Coastline Primary Care acts as a billing entity for following providers:

Provider Name	Carissa J Peterson
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1376097105 PECOS PAC ID: 2466738521 Enrollment ID: I20190819000443

Reviews and Comments

Family Medicine in Edgewater, FL

Shores Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 346 N Ridgewood Ave, Edgewater, FL 32132 Phone: 386-423-1888 Fax: 386-423-2030
Coastal Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1404 S Ridgewood Ave, Edgewater, FL 32132 Phone: 386-426-8166 Fax: 386-426-6399
Edgewater Internal Medicine Assoc. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2568 S. Ridgewood Ave, Suite 5, Edgewater, FL 32141 Phone: 386-428-4640 Fax: 386-426-1409
Volusia Center For Surgical Excellence, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Ridgewood Ave, Edgewater, FL 32132 Phone: 386-424-1422 Fax: 386-424-1401

Coastline Primary Care - Medicare Primary Care in Edgewater, FL