Tallahassee Memorial Healthcare Inc - Medicare Primary Care in Tallahassee, FL

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Tallahassee Memorial Healthcare Inc is a medicare enrolled primary clinic (Family Medicine) in Tallahassee, Florida. The current practice location for Tallahassee Memorial Healthcare Inc is 1300 Miccosukee Rd, Tallahassee, Florida. For appointments, you can reach them via phone at (850) 431-6200. The mailing address for Tallahassee Memorial Healthcare Inc is 1607 Saint James Ct Ste 1, Tallahassee, Florida and phone number is (850) 431-7289.

Tallahassee Memorial Healthcare Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366293102. 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 (850) 431-6200.

Contact Information

Tallahassee Memorial Healthcare Inc
1300 Miccosukee Rd
Tallahassee
FL 32308-5054
(850) 431-6200
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameTallahassee Memorial Healthcare Inc
SpecialityFamily Medicine
Location1300 Miccosukee Rd, Tallahassee, Florida
Authorized Official Name and PositionJennifer Parks (PRESIDENT)
Authorized Official Contact8504316234
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tallahassee Memorial Healthcare Inc
1607 Saint James Ct Ste 1
Tallahassee
FL 32308-5352

Ph: (850) 431-7289		Tallahassee Memorial Healthcare Inc
1300 Miccosukee Rd
Tallahassee
FL 32308-5054

Ph: (850) 431-6200

NPI Details:

NPI Number1366293102
Provider Enumeration Date03/29/2024
Last Update Date05/15/2025

Medicare PECOS Information:

Medicare PECOS PAC ID6103724778
Medicare Enrollment IDO20250217000858

Medical Identifiers

Medical identifiers for Tallahassee Memorial Healthcare Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366293102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology (* (Not Available))Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine (* (Not Available))Secondary
207VX0201XObstetrics & Gynecology - Gynecologic Oncology (* (Not Available))Secondary
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
2086S0129XSurgery - Vascular Surgery (* (Not Available))Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) (* (Not Available))Secondary
208VP0000XPain Medicine - Pain Medicine (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tallahassee Memorial Healthcare Inc acts as a billing entity for following providers:
Provider NameIftikhar Ahmed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063552396
PECOS PAC ID: 0749183887
Enrollment ID: I20040128000298
Provider NameNathan A Nowak
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1295832244
PECOS PAC ID: 6406894021
Enrollment ID: I20050422000722
Provider NameAndres F Rodriguez
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477503480
PECOS PAC ID: 9638113632
Enrollment ID: I20050610000293
Provider NameAngelina F Cain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356543557
PECOS PAC ID: 4587734306
Enrollment ID: I20080605000721
Provider NameSandra Brafford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386846517
PECOS PAC ID: 1254484025
Enrollment ID: I20090728000216
Provider NameVamsi Ponnaganti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194967984
PECOS PAC ID: 3870648298
Enrollment ID: I20090908000273
Provider NameRebecca Edwards Easterling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851329692
PECOS PAC ID: 5597808006
Enrollment ID: I20100205000509
Provider NameAshley L Janney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669413290
PECOS PAC ID: 3870636236
Enrollment ID: I20100208000005
Provider NameJames G Allee
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356344543
PECOS PAC ID: 2264435536
Enrollment ID: I20100301000016
Provider NameSherrill Sturgis Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215951561
PECOS PAC ID: 2466580493
Enrollment ID: I20100512000209
Provider NameNarayanan Krishnamoorthy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184817967
PECOS PAC ID: 0345365292
Enrollment ID: I20100915000490
Provider NameSuma S Dondapati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336370428
PECOS PAC ID: 6608059084
Enrollment ID: I20110322000846
Provider NameAaron Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093973786
PECOS PAC ID: 7719163211
Enrollment ID: I20110518000309
Provider NameMurray L Baker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437326725
PECOS PAC ID: 2163691767
Enrollment ID: I20110817000186
Provider NameWilliam F Geers
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992828461
PECOS PAC ID: 5496848004
Enrollment ID: I20120622000262
Provider NameAmit Jain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144430992
PECOS PAC ID: 7810064185
Enrollment ID: I20120808000916
Provider NameRaymond Shashaty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164470811
PECOS PAC ID: 1759538424
Enrollment ID: I20120831000201
Provider NameLuz Rincon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366719817
PECOS PAC ID: 3375796246
Enrollment ID: I20130102000223
Provider NameHartmuth Bruno Bittner
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1104182245
PECOS PAC ID: 8820245053
Enrollment ID: I20130411000092
Provider NameTracy Graham
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992022776
PECOS PAC ID: 1759529340
Enrollment ID: I20130703000258
Provider NameAshley Childs Fleming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205274651
PECOS PAC ID: 5294976080
Enrollment ID: I20130719000620
Provider NameThomas Herbert Wagner
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1740251230
PECOS PAC ID: 3971688672
Enrollment ID: I20131112001128
Provider NameSteven R Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982026290
PECOS PAC ID: 0648409755
Enrollment ID: I20140213001271
Provider NameMeghan M Showman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275940116
PECOS PAC ID: 0345467213
Enrollment ID: I20140818000497
Provider NameWade G Douglas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1689634388
PECOS PAC ID: 6507896172
Enrollment ID: I20141008001552
Provider NameSamer Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467500223
PECOS PAC ID: 4284736794
Enrollment ID: I20150115002221
Provider NameAllison Moore
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225463649
PECOS PAC ID: 9234440884
Enrollment ID: I20150623001952
Provider NameSusan Margaret Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639552888
PECOS PAC ID: 7416264874
Enrollment ID: I20150916003569
Provider NameGregory Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073975835
PECOS PAC ID: 4981902855
Enrollment ID: I20160408000447
Provider NameMiguel Chuquilin
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1982633251
PECOS PAC ID: 6901074814
Enrollment ID: I20161017000962
Provider NameSherif H Tewfik
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1588640460
PECOS PAC ID: 7315070927
Enrollment ID: I20170706001653
Provider NameErin Roberts Thames
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164920351
PECOS PAC ID: 3678834850
Enrollment ID: I20180305000178
Provider NameAnthony Otis Russell
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1467454322
PECOS PAC ID: 9133285950
Enrollment ID: I20180611000068
Provider NamePhilip F Bongiorno
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1073512422
PECOS PAC ID: 1658270939
Enrollment ID: I20181105001471
Provider NameBrittany A Decastro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942792635
PECOS PAC ID: 5890031611
Enrollment ID: I20190115001441
Provider NameDaniel Laurden Bernabe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912354283
PECOS PAC ID: 2769777184
Enrollment ID: I20190206000580
Provider NameMary Elizabeth Van Vliet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245747385
PECOS PAC ID: 3375805567
Enrollment ID: I20190207002847
Provider NamePablo A Rengifo-moreno
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1356500854
PECOS PAC ID: 1254457658
Enrollment ID: I20190318001484
Provider NameVanessa Gammill Lickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609343698
PECOS PAC ID: 0941534382
Enrollment ID: I20190619000393
Provider NameJoshua Burns
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730533639
PECOS PAC ID: 2567754245
Enrollment ID: I20190826002463
Provider NameNakeisha R Rodgers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679880843
PECOS PAC ID: 1355563677
Enrollment ID: I20191210002323
Provider NameAshley Leanne Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699313387
PECOS PAC ID: 9234564014
Enrollment ID: I20200124001682
Provider NameRomaine R Barrett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922520535
PECOS PAC ID: 9830462860
Enrollment ID: I20200521002391
Provider NameShaun Rajiv Tiwari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134581929
PECOS PAC ID: 5799106837
Enrollment ID: I20200528001683
Provider NameTod Morris
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1730250093
PECOS PAC ID: 0446498968
Enrollment ID: I20200605001438
Provider NameNarongsak Boonswang
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1821015652
PECOS PAC ID: 9739184169
Enrollment ID: I20200609001565
Provider NameRyan Hill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730616988
PECOS PAC ID: 3072886092
Enrollment ID: I20200617001382
Provider NameWade Baggs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174050314
PECOS PAC ID: 1951674936
Enrollment ID: I20200624001794
Provider NameMelissa Sioux Amundson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1689823619
PECOS PAC ID: 3476845371
Enrollment ID: I20200720002267
Provider NameJulia S Barry
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356760763
PECOS PAC ID: 6507139979
Enrollment ID: I20200807000039
Provider NamePrashanth R Vennalaganti
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205032612
PECOS PAC ID: 1557486396
Enrollment ID: I20200824001028
Provider NameManoela Mota
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1548689060
PECOS PAC ID: 1254555238
Enrollment ID: I20200925001212
Provider NameDejon J Maloney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518499235
PECOS PAC ID: 3072889864
Enrollment ID: I20200929002544
Provider NameWilliam D. Nimmons
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174064380
PECOS PAC ID: 2668741968
Enrollment ID: I20201012002815
Provider NameBraden J Shaffer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679030852
PECOS PAC ID: 6901147891
Enrollment ID: I20201222000767
Provider NameTerri Davis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932337698
PECOS PAC ID: 7911034046
Enrollment ID: I20210311000678
Provider NameShane Paul Mcentire
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1932224912
PECOS PAC ID: 3476876855
Enrollment ID: I20210504000388
Provider NameJasmine Rivas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225535933
PECOS PAC ID: 0345597217
Enrollment ID: I20210611001839
Provider NameBrittany Schafer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336631787
PECOS PAC ID: 1850629957
Enrollment ID: I20210911000181
Provider NameJared Shelby Barber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104486588
PECOS PAC ID: 8022344522
Enrollment ID: I20211029000573
Provider NameJames Farrell
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1962713677
PECOS PAC ID: 9638300486
Enrollment ID: I20220120001893
Provider NameWilliam Littlefield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588928659
PECOS PAC ID: 2365691581
Enrollment ID: I20220214001785
Provider NameCallie Rudy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578219309
PECOS PAC ID: 8527453828
Enrollment ID: I20220324000299
Provider NameTimothy Hann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992210884
PECOS PAC ID: 1355690900
Enrollment ID: I20220412002907
Provider NameYone Carolina Scaramelli Dos Santos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134783780
PECOS PAC ID: 9335527969
Enrollment ID: I20220609001547
Provider NameShyamal Bir
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407388804
PECOS PAC ID: 5991061012
Enrollment ID: I20220611000378
Provider NameAnthony R Vara
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1093797482
PECOS PAC ID: 7416965082
Enrollment ID: I20220614003367
Provider NameJessica Ramos
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205396975
PECOS PAC ID: 0648512731
Enrollment ID: I20220630000824
Provider NameDavid Bruce Powers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053872978
PECOS PAC ID: 0244610327
Enrollment ID: I20220707000550
Provider NameKristin Hrabowy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871082768
PECOS PAC ID: 5991185977
Enrollment ID: I20220708000071
Provider NameLeah Mcgarrah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316673403
PECOS PAC ID: 6800270489
Enrollment ID: I20220831000747
Provider NameFabiola De Los Angeles D'ambrosio
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1720406671
PECOS PAC ID: 0840500146
Enrollment ID: I20220926003689
Provider NameErica Leigh Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730803180
PECOS PAC ID: 7416323456
Enrollment ID: I20221017002472
Provider NameLauren Wilson Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790401255
PECOS PAC ID: 6204203110
Enrollment ID: I20221107001445
Provider NameKathryn Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457078867
PECOS PAC ID: 9335517614
Enrollment ID: I20221117000117
Provider NameAhmad Yaser Abdulzahir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164928107
PECOS PAC ID: 6103295464
Enrollment ID: I20221207003123
Provider NameJoseph Kebisek
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851824262
PECOS PAC ID: 3274805320
Enrollment ID: I20221212000152
Provider NameRobert Heidepriem
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1619959673
PECOS PAC ID: 0143121863
Enrollment ID: I20221214003300
Provider NameMalinda D Folkert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053048645
PECOS PAC ID: 3577933225
Enrollment ID: I20221221002324
Provider NameGenevieve Sarmiento
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255058616
PECOS PAC ID: 6507239191
Enrollment ID: I20230301002359
Provider NameChristopher Jason Williams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942838974
PECOS PAC ID: 2365865045
Enrollment ID: I20230524002600
Provider NameHussam Ammar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780712273
PECOS PAC ID: 6103868138
Enrollment ID: I20230526000582
Provider NameAlicia Owen Bishop
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285262576
PECOS PAC ID: 5395166821
Enrollment ID: I20230609002462
Provider NameGianna Mercogliano
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1174020911
PECOS PAC ID: 0749538783
Enrollment ID: I20230728003085
Provider NameLuis Carlos Rojas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568085660
PECOS PAC ID: 5193140804
Enrollment ID: I20230801000984
Provider NameMatthew Turtzo
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659804375
PECOS PAC ID: 9133502206
Enrollment ID: I20230821001135
Provider NameHari Prasad Ravipati
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1316268782
PECOS PAC ID: 3971800590
Enrollment ID: I20230925001379
Provider NameNikki Gilbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568140135
PECOS PAC ID: 2961856984
Enrollment ID: I20230926000193
Provider NameNithya M Yadlapalli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063033751
PECOS PAC ID: 2769892009
Enrollment ID: I20231002001851
Provider NameChristopher Griggs
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1528258357
PECOS PAC ID: 8123205713
Enrollment ID: I20240122004536
Provider NameEric Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316711609
PECOS PAC ID: 7012352883
Enrollment ID: I20240302000258
Provider NameSwathi Sree Nutakki
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588016539
PECOS PAC ID: 4183999352
Enrollment ID: I20240304004020
Provider NameCourtney Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982461414
PECOS PAC ID: 7315387271
Enrollment ID: I20240425003793
Provider NameMichael Joshua Bennefield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902510076
PECOS PAC ID: 3375916224
Enrollment ID: I20240612003806
Provider NameCamille Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356197222
PECOS PAC ID: 0345783700
Enrollment ID: I20240613004419
Provider NameAdrian J Carder
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205403920
PECOS PAC ID: 7618378035
Enrollment ID: I20240701000107
Provider NameJabari Burks
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124580790
PECOS PAC ID: 4284964339
Enrollment ID: I20240705000056
Provider NameRoberto Camacho
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861998528
PECOS PAC ID: 8224384789
Enrollment ID: I20240708000011
Provider NameKarolina Pudilova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902479264
PECOS PAC ID: 4385189232
Enrollment ID: I20240715004335
Provider NameJia Li Duan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629647326
PECOS PAC ID: 8729471685
Enrollment ID: I20240715004359
Provider NameYan Semenovskyi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053982355
PECOS PAC ID: 3173926730
Enrollment ID: I20240726000502
Provider NameShantel Bethel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457195265
PECOS PAC ID: 9537605464
Enrollment ID: I20240726001981
Provider NameJacquelyn Janis Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114773397
PECOS PAC ID: 7810433794
Enrollment ID: I20240727000098
Provider NameAndres Arciniegas
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1538620695
PECOS PAC ID: 9739417767
Enrollment ID: I20240731003841
Provider NameJames Monroe Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053998138
PECOS PAC ID: 6800299223
Enrollment ID: I20240805001373
Provider NameAnthony Jonathan Asta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801474374
PECOS PAC ID: 8729481288
Enrollment ID: I20240806000213
Provider NameBrian Day
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659955623
PECOS PAC ID: 3274936646
Enrollment ID: I20240823002509
Provider NameJordan Dever
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1508449430
PECOS PAC ID: 9537531256
Enrollment ID: I20240827000368
Provider NameTiffany Lynn Eisenbach
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1801410212
PECOS PAC ID: 6709205990
Enrollment ID: I20240829000755
Provider NameErika Kimberley Dressel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881437804
PECOS PAC ID: 6608315072
Enrollment ID: I20240829000956
Provider NameGizem Reyhanoglu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871173195
PECOS PAC ID: 0749683159
Enrollment ID: I20241014002473
Provider NameCheryl Divinagracia Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831924521
PECOS PAC ID: 0547792459
Enrollment ID: I20241016004907
Provider NameBarbara Gorski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598590622
PECOS PAC ID: 2567995723
Enrollment ID: I20241025002111
Provider NameAaron W Flanders
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1710182605
PECOS PAC ID: 0042492753
Enrollment ID: I20241105003803
Provider NameSharla Burrell-stroud
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851877138
PECOS PAC ID: 3678016854
Enrollment ID: I20250220000073
Provider NameIlexis Shaina Aruj
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1891577862
PECOS PAC ID: 7517487515
Enrollment ID: I20250220002808
Provider NameRachel Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417768516
PECOS PAC ID: 2961922984
Enrollment ID: I20250220003618
Provider NamePamela Mccarthy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1477600419
PECOS PAC ID: 3870640527
Enrollment ID: I20250228003279
Provider NameChelsey Lee Parsons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003629510
PECOS PAC ID: 5496277840
Enrollment ID: I20250314002967

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Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308
Phone: 904-332-4316    Fax: 904-332-4339
Big Bend Hospice, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308
Phone: 702-960-2272    
Guidewell Sanitas I, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312
Phone: 844-665-4827    
Guidewell Sanitas I, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312
Phone: 844-665-4827    
Tallahassee Memorial Healthcare Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Esplanade Way, Tallahassee, FL 32311
Phone: 850-431-3867    Fax: 850-431-3879
Tallahassee Memorial Healthcare Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Capital Oaks Dr, Tallahassee, FL 32308
Phone: 850-431-4470    Fax: 850-431-4471

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.