| Skelly Medical Group Llc | |
|
2045 Fountain Professional Ct Ste C Navarre FL 32566-5108 | |
| (850) 407-1914 | |
| Not Available |
| Full Name | Skelly Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2045 Fountain Professional Ct Ste C, Navarre, Florida |
| Authorized Official Name and Position | Sarah Skelly (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8137279881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skelly Medical Group Llc 7223 Riverview St Navarre FL 32566-6602 Ph: (813) 727-9881 | Skelly Medical Group Llc 2045 Fountain Professional Ct Ste C Navarre FL 32566-5108 Ph: (850) 407-1914 |
| NPI Number | 1255018834 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 5890141394 |
|---|---|
| Medicare Enrollment ID | O20231019000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255018834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah L Skelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881013886 PECOS PAC ID: 9032482666 Enrollment ID: I20170901002811 |
| Provider Name | Simone H Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144202383 PECOS PAC ID: 6305910266 Enrollment ID: I20190924001237 |
| Provider Name | Stacey Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154763514 PECOS PAC ID: 9335375880 Enrollment ID: I20221007001184 |
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