Jessie Trice Community Health System, Inc - Medicare Primary Care in Miami, FL

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Jessie Trice Community Health System, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Miami, Florida. The current practice location for Jessie Trice Community Health System, Inc is 5361 Nw 22nd Ave, Miami, Florida. For appointments, you can reach them via phone at (305) 637-6400. The mailing address for Jessie Trice Community Health System, Inc is 5607 Nw 27th Ave, Suite 1, Miami, Florida and phone number is (305) 805-1700.

Jessie Trice Community Health System, Inc is licensed to practice in Florida (license number 5143177). The clinic also participates in the medicare program and its NPI number is 1689605362. 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 (305) 637-6400.

Contact Information

Jessie Trice Community Health System, Inc
5361 Nw 22nd Ave
Miami
FL 33142-8035
(305) 637-6400
(305) 636-5155

Map and Direction


Primary Care Clinic Profile

Full NameJessie Trice Community Health System, Inc
SpecialityClinic/Center
Location5361 Nw 22nd Ave, Miami, Florida
Authorized Official Name and PositionRyan R. Hawkins (PRESIDENT & CEO)
Authorized Official Contact3058051700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessie Trice Community Health System, Inc
5607 Nw 27th Ave
Suite 1
Miami
FL 33142-2826

Ph: (305) 805-1700		Jessie Trice Community Health System, Inc
5361 Nw 22nd Ave
Miami
FL 33142-8035

Ph: (305) 637-6400

NPI Details:

NPI Number1689605362
Provider Enumeration Date07/05/2006
Last Update Date11/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2961486733
Medicare Enrollment IDO20041020000714

Medical Identifiers

Medical identifiers for Jessie Trice Community Health System, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689605362NPI-NPPES
029541800MedicaidFL
053833700MedicaidFL
060826200MedicaidFL
029541801MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 5143177 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jessie Trice Community Health System, Inc acts as a billing entity for following providers:
Provider NameTeresa Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528160181
PECOS PAC ID: 8628982147
Enrollment ID: I20031118000506
Provider NameJoseph A Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467663997
PECOS PAC ID: 5092609792
Enrollment ID: I20040212000494
Provider NameJoy Munajj Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013931773
PECOS PAC ID: 6709843469
Enrollment ID: I20041214000629
Provider NameJohn K Fusselman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083711196
PECOS PAC ID: 4385693894
Enrollment ID: I20050121000266
Provider NameMyriam N Gerstein
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275800104
PECOS PAC ID: 4082655923
Enrollment ID: I20050520000228
Provider NameKia Prescott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558452540
PECOS PAC ID: 7911086376
Enrollment ID: I20080509000440
Provider NameJoycelyn Lawrence
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881659365
PECOS PAC ID: 2365568425
Enrollment ID: I20100925000335
Provider NameSargine Dupuy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760443899
PECOS PAC ID: 3072784172
Enrollment ID: I20110921000725
Provider NameRonald J Borge
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831103605
PECOS PAC ID: 9638334923
Enrollment ID: I20120712000360
Provider NameParikshit Deshmukh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1437395845
PECOS PAC ID: 3173789948
Enrollment ID: I20120723000717
Provider NameSheryl Reaves
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023301280
PECOS PAC ID: 7315194826
Enrollment ID: I20150213000305
Provider NameAlonzo Grant
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730417023
PECOS PAC ID: 5496898819
Enrollment ID: I20151007000423
Provider NameLisa Sweeney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093235731
PECOS PAC ID: 1557634656
Enrollment ID: I20170912003310
Provider NameNatalia M Uribe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841671955
PECOS PAC ID: 4284949793
Enrollment ID: I20190107002970
Provider NameDarline Francois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669714465
PECOS PAC ID: 9335486497
Enrollment ID: I20190128001292
Provider NameNadia Melba Alethia Cumberbatch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528455300
PECOS PAC ID: 5890066112
Enrollment ID: I20190206002257
Provider NameHerve P M Corbel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194240283
PECOS PAC ID: 1153660683
Enrollment ID: I20190228001083
Provider NameArianne Cordon Duran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871983551
PECOS PAC ID: 6305138546
Enrollment ID: I20200318000213
Provider NameKesha Deneen Williams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902339518
PECOS PAC ID: 8729406863
Enrollment ID: I20200922001028
Provider NameBrittney Anne Cole
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952996928
PECOS PAC ID: 5496163255
Enrollment ID: I20210415000294
Provider NameSirac Cardoza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154771939
PECOS PAC ID: 9739426917
Enrollment ID: I20210524000158
Provider NameJoain Sophie Silvera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508333063
PECOS PAC ID: 6002213899
Enrollment ID: I20210921002587
Provider NameEffie Nyerai Simoyi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700474350
PECOS PAC ID: 6507263779
Enrollment ID: I20210930002383
Provider NameAli-reza Force
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487041752
PECOS PAC ID: 2567782055
Enrollment ID: I20220412002648
Provider NameJulia Nektal
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1356702344
PECOS PAC ID: 7012296924
Enrollment ID: I20220418000757
Provider NameAlexia Charles
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407351216
PECOS PAC ID: 8224449905
Enrollment ID: I20221007000872
Provider NameCristina Elena Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174259709
PECOS PAC ID: 5597141945
Enrollment ID: I20221007002347
Provider NameDana Walker
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1386200053
PECOS PAC ID: 2365811858
Enrollment ID: I20221205002052
Provider NameJavier Salmen Namen Alarcon
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1255857801
PECOS PAC ID: 7315316262
Enrollment ID: I20221215001136
Provider NameVanessa Lebron
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1619336369
PECOS PAC ID: 9133407984
Enrollment ID: I20221215002723
Provider NameDeborah George
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1720149180
PECOS PAC ID: 6406166388
Enrollment ID: I20221227000014
Provider NameMaria Teresa Feiz
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1932615929
PECOS PAC ID: 2466822333
Enrollment ID: I20230110003296
Provider NameMary Cecilia Crosby
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1194761213
PECOS PAC ID: 1153792114
Enrollment ID: I20230130002462
Provider NameRejane Rameau
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1659541175
PECOS PAC ID: 5092188979
Enrollment ID: I20230223000780
Provider NameGabriela Rocha
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1003520578
PECOS PAC ID: 4385018043
Enrollment ID: I20230320001483
Provider NameJenrry Medinilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760173660
PECOS PAC ID: 1254798085
Enrollment ID: I20230608002875
Provider NameKatina Richardson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992362800
PECOS PAC ID: 1052770583
Enrollment ID: I20230630002770
Provider NameAbbdady Charles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710522016
PECOS PAC ID: 1254790124
Enrollment ID: I20230711000062
Provider NameJuan Fernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194436170
PECOS PAC ID: 0840654448
Enrollment ID: I20230915000388
Provider NameLisandra Castillo Llanes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467138420
PECOS PAC ID: 3678937174
Enrollment ID: I20230918001369
Provider NameReinier Galvez Piedra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528709060
PECOS PAC ID: 5496199770
Enrollment ID: I20240214002184
Provider NameLenon Juan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1497270599
PECOS PAC ID: 4385064914
Enrollment ID: I20240416004198
Provider NamePierre Antonio Gonzalez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821573445
PECOS PAC ID: 0042652919
Enrollment ID: I20240523000647
Provider NameSubhashree Nayak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316400211
PECOS PAC ID: 9830531276
Enrollment ID: I20240530001491
Provider NameHeather Wilbur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467200030
PECOS PAC ID: 8426595190
Enrollment ID: I20240731002029
Provider NameEna Dumond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629810437
PECOS PAC ID: 2860931045
Enrollment ID: I20240902000480
Provider NameAshley Emma Reid
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1407599020
PECOS PAC ID: 1759814494
Enrollment ID: I20241101002284
Provider NameCarlos De Leon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740008150
PECOS PAC ID: 0648705442
Enrollment ID: I20241202003485
Provider NameOneil Joseph Pyke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649279761
PECOS PAC ID: 2365342003
Enrollment ID: I20241205000635
Provider NameCrystal Rivera
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922773431
PECOS PAC ID: 3274063128
Enrollment ID: I20250207002169

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.