Peace River Center - Medicare Primary Care in Bartow, FL

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Peace River Center is a medicare enrolled primary clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Bartow, Florida. The current practice location for Peace River Center is 1239 E Main St, Bartow, Florida. For appointments, you can reach them via phone at (863) 519-0575. The mailing address for Peace River Center is Po Box 1559, Bartow, Florida and phone number is (863) 519-0575.

Peace River Center is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1821097767. 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 (863) 519-0575.

Contact Information

Peace River Center
1239 E Main St
Bartow
FL 33830-5058
(863) 519-0575
(863) 582-9251

Map and Direction


Primary Care Clinic Profile

Full NamePeace River Center
SpecialityClinic/Center
Location1239 E Main St, Bartow, Florida
Authorized Official Name and PositionJo Deck (CREDENTIALING SPECIALIST)
Authorized Official Contact8635190575
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peace River Center
Po Box 1559
Bartow
FL 33831-1559

Ph: (863) 519-0575		Peace River Center
1239 E Main St
Bartow
FL 33830-5058

Ph: (863) 519-0575

NPI Details:

NPI Number1821097767
Provider Enumeration Date07/20/2005
Last Update Date04/15/2026
Certification Date04/15/2026

Medicare PECOS Information:

Medicare PECOS PAC ID7719877927
Medicare Enrollment IDO20040319000056

Medical Identifiers

Medical identifiers for Peace River Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821097767NPI-NPPES
060310400MedicaidFL
060310401MedicaidFL
060310410MedicaidFL
060310424MedicaidFL
060310405MedicaidFL
060310412MedicaidFL
060310414MedicaidFL
060310417MedicaidFL
060310411MedicaidFL
060310419MedicaidFL
060310425MedicaidFL
060310434MedicaidFL
060310435MedicaidFL
060310439MedicaidFL
060310404MedicaidFL
060310421MedicaidFL
060310422MedicaidFL
060310438MedicaidFL
060310429MedicaidFL
103255300MedicaidFL
060310406MedicaidFL
060310413MedicaidFL
060310426MedicaidFL
060310432MedicaidFL
060310415MedicaidFL
060310409MedicaidFL
060310423MedicaidFL
060310437MedicaidFL
103255700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Secondary
251B00000XCase Management ()Secondary
251S00000XCommunity/behavioral Health ()Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) ()Primary
261QM0850XClinic/center - Adult Mental Health ()Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health ()Secondary
261QR1300XClinic/center - Rural Health ()Secondary
284300000XSpecial Hospital ()Secondary
320800000XCommunity Based Residential Treatment Facility, Mental Illness ()Secondary
323P00000XPsychiatric Residential Treatment Facility ()Secondary
343900000XNon-emergency Medical Transport (van) ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Peace River Center acts as a billing entity for following providers:
Provider NameCharles a Barrios
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023232162
PECOS PAC ID: 4183685183
Enrollment ID: I20041022000788
Provider NameWilliam Sadowsky
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013982057
PECOS PAC ID: 9335104546
Enrollment ID: I20041130000542
Provider NameLuanne G Sadowsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508832312
PECOS PAC ID: 1456317882
Enrollment ID: I20041207000717
Provider NameJorge J Dorta-duque
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1124053699
PECOS PAC ID: 5092811406
Enrollment ID: I20070501000643
Provider NameKaren Barber Stewart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700993649
PECOS PAC ID: 4880783869
Enrollment ID: I20071128000357
Provider NameUshimbra Buford
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568673390
PECOS PAC ID: 8729133087
Enrollment ID: I20090910000178
Provider NameMichael James Buchanan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457533010
PECOS PAC ID: 3577645985
Enrollment ID: I20100903000709
Provider NamePatricia a Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114119070
PECOS PAC ID: 8325284029
Enrollment ID: I20130425000358
Provider NameOlivia J Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023125945
PECOS PAC ID: 4880833599
Enrollment ID: I20130610000312
Provider NameAmy K Nelson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083904700
PECOS PAC ID: 4587803218
Enrollment ID: I20130610000558
Provider NameMavra Eileen Kear
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558357418
PECOS PAC ID: 3476793878
Enrollment ID: I20130708000729
Provider NameTonya T Flores
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043475395
PECOS PAC ID: 9436373289
Enrollment ID: I20140617001614
Provider NameAlicia Nicole Carden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942688403
PECOS PAC ID: 6901110576
Enrollment ID: I20150728003840
Provider NameHeather Ellis Bonfil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962803288
PECOS PAC ID: 2264653997
Enrollment ID: I20150917002382
Provider NameMonay a Link
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285092742
PECOS PAC ID: 0547567836
Enrollment ID: I20160331002146
Provider NameJacquelyn Delgado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952775124
PECOS PAC ID: 8729367974
Enrollment ID: I20161111000628
Provider NameEquilla Vonzetti Cherry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689029480
PECOS PAC ID: 9739474123
Enrollment ID: I20170825003094
Provider NameNnenna C Emelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770934127
PECOS PAC ID: 5991063588
Enrollment ID: I20180104000378
Provider NameKirk D Fasshauer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538240346
PECOS PAC ID: 3678837275
Enrollment ID: I20180508000327
Provider NameJessica L Dobbertin Borruso
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053787077
PECOS PAC ID: 7416282157
Enrollment ID: I20190717001857
Provider NameJean Baptiste Tropnas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1720013295
PECOS PAC ID: 0749171452
Enrollment ID: I20190927001174
Provider NameJulie J Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801357066
PECOS PAC ID: 6608107628
Enrollment ID: I20191007000016
Provider NameJacinta Okeke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861975575
PECOS PAC ID: 6507270931
Enrollment ID: I20210127000051
Provider NameKristy Laine O'neill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841773140
PECOS PAC ID: 6800295635
Enrollment ID: I20210528000363
Provider NameOrlyne Charles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710574868
PECOS PAC ID: 6305229998
Enrollment ID: I20220815001726
Provider NameYesenia Maria Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194458802
PECOS PAC ID: 5698159101
Enrollment ID: I20220901001803
Provider NameSamantha Ferguson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1265866271
PECOS PAC ID: 5597113159
Enrollment ID: I20231121001865
Provider NameAdam Bazini
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1346467016
PECOS PAC ID: 2961852306
Enrollment ID: I20231227000706
Provider NameRobert West
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861489288
PECOS PAC ID: 5698125938
Enrollment ID: I20231228001306
Provider NameAmanda Collister
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255723623
PECOS PAC ID: 1658721865
Enrollment ID: I20240102000267
Provider NameMyriam M Buitrago
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1033552260
PECOS PAC ID: 7517317647
Enrollment ID: I20240102001169
Provider NameLynn M Repetosky
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1558486357
PECOS PAC ID: 2668822792
Enrollment ID: I20240102001310
Provider NameMarcela Isabel Arellano
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912281825
PECOS PAC ID: 4789034828
Enrollment ID: I20240102001525
Provider NameHolly Wallace
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1699948844
PECOS PAC ID: 3173973187
Enrollment ID: I20240103000056
Provider NameSarah M Smith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1457762551
PECOS PAC ID: 4587014592
Enrollment ID: I20240103000179
Provider NameSimone Evans
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1891350336
PECOS PAC ID: 5991156820
Enrollment ID: I20240104003797
Provider NameDonna Rininger
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1518056175
PECOS PAC ID: 5597116293
Enrollment ID: I20240108000128
Provider NameLuke Bigelow
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1245721265
PECOS PAC ID: 7012368756
Enrollment ID: I20240108003440
Provider NameChristopher Kizirian
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790308617
PECOS PAC ID: 4880045533
Enrollment ID: I20240108003651
Provider NameMelissa Fulton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1992165427
PECOS PAC ID: 1254782832
Enrollment ID: I20240108005131
Provider NameTerri Dyer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801665591
PECOS PAC ID: 1456795756
Enrollment ID: I20240214002801
Provider NameJudith Geneus
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1720559503
PECOS PAC ID: 2668819418
Enrollment ID: I20240328001420
Provider NameLizandra Chase
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1285010389
PECOS PAC ID: 1052759305
Enrollment ID: I20240404003407
Provider NameAshley Chapman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316307820
PECOS PAC ID: 4981043619
Enrollment ID: I20240415002254
Provider NameKerry-ann Greensword
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134695596
PECOS PAC ID: 3870035181
Enrollment ID: I20240602000067
Provider NameFedro Jean Laurent
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669077616
PECOS PAC ID: 8527500040
Enrollment ID: I20240611003631
Provider NameSheena Donley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962708206
PECOS PAC ID: 6800339219
Enrollment ID: I20240613002206
Provider NamePetula Williams
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770962383
PECOS PAC ID: 5799229001
Enrollment ID: I20240627002482
Provider NameJennifer Martin
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1225876741
PECOS PAC ID: 0446798029
Enrollment ID: I20240814000705
Provider NameChante Ashmeade-jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598595043
PECOS PAC ID: 0840739652
Enrollment ID: I20240824000212
Provider NameKaren Michelle Cino
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073648762
PECOS PAC ID: 4981132529
Enrollment ID: I20250110001351
Provider NameAlice Porterfield
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912300153
PECOS PAC ID: 0446780035
Enrollment ID: I20250212000963
Provider NameKarl Hoffmann
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447441100
PECOS PAC ID: 4385174820
Enrollment ID: I20250212003154
Provider NameKimberly Neal
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407032436
PECOS PAC ID: 6204366552
Enrollment ID: I20250217000130
Provider NameYvonne R Hess
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1104939750
PECOS PAC ID: 8325481096
Enrollment ID: I20250227000970
Provider NameStephanie Rambali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053679357
PECOS PAC ID: 2163904327
Enrollment ID: I20260305003528

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.