<unavail> in Melbourne, FL - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Melbourne, Florida. The current practice location for is 3156 Calgary St, Melbourne, Florida. For appointments, you can reach them via phone at (321) 374-4785. The mailing address for is 2511 N Hiatus Rd # 168, Hollywood, Florida and phone number is (321) 374-4785.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336718089. 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 (321) 374-4785.

Contact Information


	3156 Calgary St Melbourne FL 32935-4639
	(321) 374-4785
	(321) 732-4942

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	3156 Calgary St, Melbourne, Florida
Authorized Official Name and Position	Lisa A Baker (PRESIDENT)
Authorized Official Contact	3213744785
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2511 N Hiatus Rd # 168 Hollywood FL 33026-1301 Ph: (321) 374-4785	3156 Calgary St Melbourne FL 32935-4639 Ph: (321) 374-4785

NPI Details:

NPI Number	1336718089
Provider Enumeration Date	06/17/2021
Last Update Date	04/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2860899515
Medicare Enrollment ID	O20210922001409

Medical Identifiers

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

Identifier	Type	State	Issuer
1336718089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
207R00000X	Internal Medicine	(* (Not Available))	Secondary

Medicare Reassignments

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

Provider Name	Lisa Ann Baker
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1467932525 PECOS PAC ID: 9537594932 Enrollment ID: I20200113001524

Reviews and Comments

Family Medicine in Melbourne, FL

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First Locums Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3248 Cortona Dr, Melbourne, FL 32940 Phone: 321-735-8301 Fax: 321-735-8301
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- Medicare Primary Care in Melbourne, FL