| Little Pine Pediatrics Of Madison | |
|
194 Ne Hancock Ave Madison FL 32340-2546 | |
| (850) 253-2275 | |
| Not Available |
| Full Name | Little Pine Pediatrics Of Madison |
|---|---|
| Speciality | Clinic/Center |
| Location | 194 Ne Hancock Ave, Madison, Florida |
| Authorized Official Name and Position | Ronald Emerick (OWNER) |
| Authorized Official Contact | 8555775437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Pine Pediatrics Of Madison 1702 S Jefferson St Perry FL 32348-5611 Ph: (855) 577-5437 | Little Pine Pediatrics Of Madison 194 Ne Hancock Ave Madison FL 32340-2546 Ph: (850) 253-2275 |
| NPI Number | 1497007553 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 0244380152 |
|---|---|
| Medicare Enrollment ID | O20150602000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497007553 | NPI | - | NPPES |
| 001165802 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | HCC10208 (Florida) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Little Pine Pediatrics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Ne Hancock Ave, Madison, FL 32340 Phone: 850-253-2275 Fax: 850-253-2280 | |
Cardiology And Internal Medicine Group Of North Florida P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 W Base St, Madison, FL 32340 Phone: 850-973-8600 | |
Madison Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Sw Dade St, Suite A, Madison, FL 32340 Phone: 850-385-4494 | |
Madison Osteopathic Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Sw Dade St, Suite, Madison, FL 32340 Phone: 850-253-8000 | |
Bailey Grade Medical Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 289 Sw Range Ave, Suite C, Madison, FL 32340 Phone: 850-973-2252 Fax: 855-531-6313 | |
Madison Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 Ne Hancock Avenue, Madison, FL 32340 Phone: 850-973-4853 Fax: 850-973-8860 |