| Treasure Coast Hospitalist Pl | |
|
6692 Sw Silver Wolf Dr Palm City FL 34990-8875 | |
| (772) 249-5256 | |
| (772) 249-5274 |
| Full Name | Treasure Coast Hospitalist Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 6692 Sw Silver Wolf Dr, Palm City, Florida |
| Authorized Official Name and Position | Mary S Worobey (OFFICE MANAGER) |
| Authorized Official Contact | 7722495256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Hospitalist Pl Po Box 1457 Palm City FL 34991-6457 Ph: (772) 249-5256 | Treasure Coast Hospitalist Pl 6692 Sw Silver Wolf Dr Palm City FL 34990-8875 Ph: (772) 249-5256 |
| NPI Number | 1457508236 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 12/21/2017 |
| Medicare PECOS PAC ID | 8224197165 |
|---|---|
| Medicare Enrollment ID | O20081106000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457508236 | NPI | - | NPPES |
| 000408700 | Medicaid | FL | |
| 98333 | Other | FL | BLUE CROSS FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Younes Lehachi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821020959 PECOS PAC ID: 2163427642 Enrollment ID: I20080403000146 |
| Provider Name | Gregory A Dawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235336819 PECOS PAC ID: 5496936643 Enrollment ID: I20121008000013 |
| Provider Name | Yohanna Deno |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700050275 PECOS PAC ID: 4284805805 Enrollment ID: I20131009000276 |
| Provider Name | Lissette Michelle Feliz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912342866 PECOS PAC ID: 7113231671 Enrollment ID: I20150729007182 |
| Provider Name | Michelle A Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801215389 PECOS PAC ID: 7315252376 Enrollment ID: I20150819009209 |
| Provider Name | Kellee A Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437402930 PECOS PAC ID: 2365757200 Enrollment ID: I20150820011561 |
| Provider Name | Cindy Yuen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902230477 PECOS PAC ID: 0345510061 Enrollment ID: I20170727002925 |
| Provider Name | Lawrence P Nolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598172413 PECOS PAC ID: 6002186368 Enrollment ID: I20170825000867 |
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