| North Florida Medical - Perry | |
|
1850 S Byron Butler Pkwy Perry FL 32348 | |
| (850) 838-2030 | |
| (850) 838-2040 |
| Full Name | North Florida Medical - Perry |
|---|---|
| Speciality | Clinic/Center |
| Location | 1850 S Byron Butler Pkwy, Perry, Florida |
| Authorized Official Name and Position | Lane Miller Lunn (PRESIDENT/CEO) |
| Authorized Official Contact | 8503854494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Medical - Perry 2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 Ph: (850) 385-4494 | North Florida Medical - Perry 1850 S Byron Butler Pkwy Perry FL 32348 Ph: (850) 838-2030 |
| NPI Number | 1255526638 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 01/17/2022 |
| Medicare PECOS PAC ID | 6103737697 |
|---|---|
| Medicare Enrollment ID | O20040102000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255526638 | NPI | - | NPPES |
| 692957500 | Medicaid | FL | |
| 692957501 | Medicaid | FL | |
| 99388 | Other | FL | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Patrick Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346466463 PECOS PAC ID: 9335211218 Enrollment ID: I20080709000655 |
| Provider Name | Jeffrey David Wasserman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972507556 PECOS PAC ID: 6305977125 Enrollment ID: I20100623000312 |
| Provider Name | Elaine Larkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780688341 PECOS PAC ID: 3577694694 Enrollment ID: I20100706000205 |
| Provider Name | Bogdan Maliszewski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750385324 PECOS PAC ID: 2961300751 Enrollment ID: I20100901000770 |
| Provider Name | Daniel Ray Breivogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437451929 PECOS PAC ID: 4385825686 Enrollment ID: I20110218000915 |
| Provider Name | Doris M Carmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407112063 PECOS PAC ID: 0547423402 Enrollment ID: I20120514000308 |
| Provider Name | Russell Lloyd Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003999715 PECOS PAC ID: 0547354797 Enrollment ID: I20140321000951 |
| Provider Name | Debbi Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741551 PECOS PAC ID: 1355641135 Enrollment ID: I20151201000269 |
| Provider Name | Lisa E Menchion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356885503 PECOS PAC ID: 7719264498 Enrollment ID: I20170505001438 |
| Provider Name | Christian Hernandez Nazario |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184877235 PECOS PAC ID: 6901940360 Enrollment ID: I20190725002982 |
| Provider Name | Carla Janese Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345567 PECOS PAC ID: 9931430782 Enrollment ID: I20191009003167 |
| Provider Name | Shirley Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659913606 PECOS PAC ID: 0042642092 Enrollment ID: I20191113003100 |
| Provider Name | Jennifer Vital Whitfield |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396384582 PECOS PAC ID: 7810324720 Enrollment ID: I20200304002642 |
| Provider Name | Rita Faye Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174643233 PECOS PAC ID: 3870922545 Enrollment ID: I20200331002699 |
| Provider Name | Terri Beth Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073137816 PECOS PAC ID: 5991127219 Enrollment ID: I20200615002424 |
| Provider Name | Callie Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780251546 PECOS PAC ID: 7416351929 Enrollment ID: I20210805001978 |
| Provider Name | Melissa Laite |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568101509 PECOS PAC ID: 2769864271 Enrollment ID: I20220801000215 |
| Provider Name | Jenifer Brickler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861999765 PECOS PAC ID: 3375969751 Enrollment ID: I20220922001349 |
| Provider Name | Kelly L Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376269878 PECOS PAC ID: 5092182246 Enrollment ID: I20221101002833 |
| Provider Name | Lorie Knight Barrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336843374 PECOS PAC ID: 2860867207 Enrollment ID: I20230417001708 |
| Provider Name | Elizabeth Ann Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114159894 PECOS PAC ID: 8426409483 Enrollment ID: I20240104000987 |
| Provider Name | Shanekia Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942870241 PECOS PAC ID: 3375907678 Enrollment ID: I20240124002201 |
Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-584-6000 Fax: 850-584-6001 | |
Dmh Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 S Jefferson St, Perry, FL 32348 Phone: 850-838-2323 Fax: 850-838-2333 | |
Perry Chiropractic Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 N Orange St, Perry, FL 32347 Phone: 850-584-7117 Fax: 850-584-7119 | |
Diane A Schlick Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 S Jefferson St, Perry, FL 32347 Phone: 850-584-5876 Fax: 850-584-4939 | |
Dmh Pediatric And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-838-2121 Fax: 850-838-1842 | |
Perry Va Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 N Peacock Ave, Perry, FL 32347 Phone: 866-793-4591 |