| The Primary Care Center Of Lake City Richard L. Wright Jr Md, Pa | |
|
221 Sw Stonegate Ter Ste 101 Lake City FL 32024-3463 | |
| (386) 755-0421 | |
| (386) 487-1234 |
| Full Name | The Primary Care Center Of Lake City Richard L. Wright Jr Md, Pa |
|---|---|
| Speciality | General Practice |
| Location | 221 Sw Stonegate Ter Ste 101, Lake City, Florida |
| Authorized Official Name and Position | Sara Wright (OFFICE MANAGER/CFO) |
| Authorized Official Contact | 3867550421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Primary Care Center Of Lake City Richard L. Wright Jr Md, Pa 221 Sw Stonegate Ter Ste 101 Lake City FL 32024-3463 Ph: (386) 755-0421 | The Primary Care Center Of Lake City Richard L. Wright Jr Md, Pa 221 Sw Stonegate Ter Ste 101 Lake City FL 32024-3463 Ph: (386) 755-0421 |
| NPI Number | 1366460297 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 04/08/2025 |
| Medicare PECOS PAC ID | 7315942851 |
|---|---|
| Medicare Enrollment ID | O20060915000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366460297 | NPI | - | NPPES |
| DF1648 | Other | FL | RAILROAD MEDICARE |
| 240513 | Other | FL | AVMED |
| 12045 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard L Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144284217 PECOS PAC ID: 7618934845 Enrollment ID: I20060906000013 |
| Provider Name | Aymee Jean Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467807347 PECOS PAC ID: 3971883018 Enrollment ID: I20161207002510 |
| Provider Name | Sheri Anne Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700337458 PECOS PAC ID: 0941581680 Enrollment ID: I20230609002098 |
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