| Providers Health Alliance, Llc | |
|
12955 Palms West Dr Ste 203 Loxahatchee FL 33470-9217 | |
| (561) 231-5200 | |
| (561) 231-5201 |
| Full Name | Providers Health Alliance, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12955 Palms West Dr Ste 203, Loxahatchee, Florida |
| Authorized Official Name and Position | Tina Dochniak (PRESIDENT) |
| Authorized Official Contact | 5612934305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providers Health Alliance, Llc 11924 Forest Hill Blvd Ste 10a-138 Wellington FL 33414-6256 Ph: (561) 293-4301 | Providers Health Alliance, Llc 12955 Palms West Dr Ste 203 Loxahatchee FL 33470-9217 Ph: (561) 231-5200 |
| NPI Number | 1689064834 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 09/09/2020 |
| Medicare PECOS PAC ID | 9739462813 |
|---|---|
| Medicare Enrollment ID | O20170215002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689064834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tina M Dochniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427094937 PECOS PAC ID: 5698879682 Enrollment ID: I20070402000011 |
| Provider Name | Tina M Mabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497935803 PECOS PAC ID: 2062592512 Enrollment ID: I20080109000546 |
| Provider Name | John G Miloscia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386889038 PECOS PAC ID: 8820133895 Enrollment ID: I20110810000385 |
| Provider Name | Christine Marie Besette Miloscia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184855785 PECOS PAC ID: 0840460101 Enrollment ID: I20110824000924 |
| Provider Name | Melissa Mora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992938203 PECOS PAC ID: 6709035280 Enrollment ID: I20120926000533 |
| Provider Name | Ricardo Aleman Chinea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104132927 PECOS PAC ID: 1951545136 Enrollment ID: I20130910000877 |
| Provider Name | Felistas H Madziwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124006879 PECOS PAC ID: 7911931654 Enrollment ID: I20170530002523 |
| Provider Name | Jude Andre Acloque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386085314 PECOS PAC ID: 7618237561 Enrollment ID: I20180214001168 |
| Provider Name | Erin Bergin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376079137 PECOS PAC ID: 6406190545 Enrollment ID: I20181130001255 |
| Provider Name | Anita Susan Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033697776 PECOS PAC ID: 3577802628 Enrollment ID: I20190307000291 |
| Provider Name | Anna Pavlovna Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801439542 PECOS PAC ID: 5890129704 Enrollment ID: I20200102000205 |
| Provider Name | Kimberly K Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659648756 PECOS PAC ID: 4789808858 Enrollment ID: I20200812001661 |
| Provider Name | Lynne Ann Mcinerney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720671449 PECOS PAC ID: 6800277104 Enrollment ID: I20220718003259 |
| Provider Name | Jennifer Fleigelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790405405 PECOS PAC ID: 8921475310 Enrollment ID: I20221027000798 |
| Provider Name | Lisa Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194334953 PECOS PAC ID: 9638546211 Enrollment ID: I20221110003272 |
Wellingtonmd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12989 Southern Blvd Ste 103, Loxahatchee, FL 33470 Phone: 561-268-2880 Fax: 561-268-2881 | |
Cano Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470 Phone: 561-333-5022 | |
Jeune&belle Medical Center And Spa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13005 Southern Blvd Ste 214, Loxahatchee, FL 33470 Phone: 561-254-7933 | |
Ana Luisa T-y Safra Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13005 Southern Blvd, Suite 225, Loxahatchee, FL 33470 Phone: 561-313-4884 Fax: 561-784-7202 | |
Gh Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4348 145th Ave N, Loxahatchee, FL 33470 Phone: 561-254-0415 | |
Medical Transitional Care Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15673 Southern Blvd # 107-324, Loxahatchee, FL 33470 Phone: 917-254-1294 Fax: 561-293-8260 | |
Data Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12989 Southern Blvd Ste 104, Loxahatchee, FL 33470 Phone: 561-891-9810 |