| Cross Creek Medical Pa | |
|
1381 Cross Creek Cir Suite A Tallahassee FL 32301-3723 | |
| (850) 877-6393 | |
| (850) 877-6393 |
| Full Name | Cross Creek Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1381 Cross Creek Cir, Tallahassee, Florida |
| Authorized Official Name and Position | Wayne A Sampson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8508776393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Creek Medical Pa 1381a Cross Creek Cir Tallahassee FL 32301-3729 Ph: (850) 877-6393 | Cross Creek Medical Pa 1381 Cross Creek Cir Suite A Tallahassee FL 32301-3723 Ph: (850) 877-6393 |
| NPI Number | 1447438486 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 10/05/2011 |
| Medicare PECOS PAC ID | 9436322641 |
|---|---|
| Medicare Enrollment ID | O20231101001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447438486 | NPI | - | NPPES |
| 250984900 | Medicaid | FL | |
| DF9814 | Other | FL | RAILROAD MEDICARE |
| 003457000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0071014FLME (Florida) | Primary |
| Provider Name | Wayne Sampson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897582 PECOS PAC ID: 2163695388 Enrollment ID: I20111103000882 |
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