Panacea Alliance Corp. - Medicare Primary Care in St Augustine, FL

Panacea Alliance Corp. is a medicare enrolled primary clinic (Family Medicine) in St Augustine, Florida. The current practice location for Panacea Alliance Corp. is 1750 Tree Blvd, Ste 5, St Augustine, Florida. For appointments, you can reach them via phone at (904) 342-0672. The mailing address for Panacea Alliance Corp. is 1750 Tree Blvd Ste 5, St Augustine, Florida and phone number is (904) 342-0672.

Panacea Alliance Corp. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326298803. 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 (904) 342-0672.

Contact Information

Panacea Alliance Corp.
1750 Tree Blvd
Ste 5
St Augustine
FL 32084-5715
(904) 342-0672
(904) 342-0673

Map and Direction


Primary Care Clinic Profile

Full NamePanacea Alliance Corp.
SpecialityFamily Medicine
Location1750 Tree Blvd, St Augustine, Florida
Authorized Official Name and PositionEneida Gomez (OWNER)
Authorized Official Contact9043420672
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Panacea Alliance Corp.
1750 Tree Blvd Ste 5
St Augustine
FL 32084-5719

Ph: (904) 342-0672
Panacea Alliance Corp.
1750 Tree Blvd
Ste 5
St Augustine
FL 32084-5715

Ph: (904) 342-0672

NPI Details:

NPI Number1326298803
Provider Enumeration Date09/22/2008
Last Update Date04/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6002974235
Medicare Enrollment IDO20081016000487

Medical Identifiers

Medical identifiers for Panacea Alliance Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326298803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
2084P0800XPsychiatry & Neurology - Psychiatry ME83444 (Florida)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry ME 83444 (Florida)Secondary
363LF0000XNurse Practitioner - Family (* (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. Panacea Alliance Corp. acts as a billing entity for following providers:
Provider NameEneida Gomez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366431835
PECOS PAC ID: 0446352652
Enrollment ID: I20070219000402
Provider NameKathleen Vacchelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376566729
PECOS PAC ID: 4880780998
Enrollment ID: I20071022000175
Provider NameJoseph Rosado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104068584
PECOS PAC ID: 1355479072
Enrollment ID: I20100517000369
Provider NameAngelia Lynn Fuller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366866204
PECOS PAC ID: 7517182785
Enrollment ID: I20140701001463
Provider NameConcepcion Barreto
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1932236601
PECOS PAC ID: 9133411531
Enrollment ID: I20160705001812

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.