| Newcare Primary Medicine, Llc | |
|
4551 W Us Highway 90 Lake City FL 32055-8835 | |
| (386) 319-8178 | |
| (386) 243-8786 |
| Full Name | Newcare Primary Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4551 W Us Highway 90, Lake City, Florida |
| Authorized Official Name and Position | Elizabeth K Newman (OWNER) |
| Authorized Official Contact | 3863198178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newcare Primary Medicine, Llc 4551 W Us Highway 90 Lake City FL 32055-8835 Ph: (386) 319-8178 | Newcare Primary Medicine, Llc 4551 W Us Highway 90 Lake City FL 32055-8835 Ph: (386) 319-8178 |
| NPI Number | 1225628803 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 6800202037 |
|---|---|
| Medicare Enrollment ID | O20210312000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225628803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Leanna Brooke Stebbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942822283 PECOS PAC ID: 1658796305 Enrollment ID: I20200729001144 |
| Provider Name | Elizabeth Kathryn Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083736615 PECOS PAC ID: 7618383845 Enrollment ID: I20210409001102 |
| Provider Name | Mary A Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811667124 PECOS PAC ID: 2062803786 Enrollment ID: I20220106001029 |
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