| Panhandle Primary Care Pllc | |
|
92 Pimlico Dr Crawfordville FL 32327-2499 | |
| (850) 879-0759 | |
| Not Available |
| Full Name | Panhandle Primary Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 92 Pimlico Dr, Crawfordville, Florida |
| Authorized Official Name and Position | Valerie Marie Russell (BUSINESS OWNER) |
| Authorized Official Contact | 8508790759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Primary Care Pllc 92 Pimlico Dr Crawfordville FL 32327-2499 Ph: (850) 879-0759 | Panhandle Primary Care Pllc 92 Pimlico Dr Crawfordville FL 32327-2499 Ph: (850) 879-0759 |
| NPI Number | 1558186437 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Medicare PECOS PAC ID | 7315473543 |
|---|---|
| Medicare Enrollment ID | O20241211000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558186437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Valerie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508053240 PECOS PAC ID: 3779673835 Enrollment ID: I20090226000074 |
Wakulla County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Oak St, Crawfordville, FL 32327 Phone: 850-926-3591 Fax: 850-926-2178 | |
Wakulla Urgent Care & Diagnostic Center Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Feli Way, Crawfordville, FL 32327 Phone: 850-926-3140 Fax: 850-926-3163 | |
Coastal Rehabilitation And Treatment Services. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3295 Crawfordville Hwy, Crawfordville, FL 32327 Phone: 850-566-0037 Fax: 850-697-3891 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Council Moore Rd, Crawfordville, FL 32327 Phone: 850-926-7105 Fax: 850-926-2034 | |
Wakulla Urgent Care & Diagnostic Center Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Feli Way, Crawfordville, FL 32327 Phone: 850-926-3140 Fax: 850-926-3163 | |
Wakulla County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Oak St, Crawfordville, FL 32327 Phone: 850-926-3591 Fax: 850-926-1938 |