| Wiregrass Direct Primary Care Pllc | |
|
2236 Green Hedges Way Wesley Chapel FL 33544-8189 | |
| (813) 999-0505 | |
| (813) 701-9450 |
| Full Name | Wiregrass Direct Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2236 Green Hedges Way, Wesley Chapel, Florida |
| Authorized Official Name and Position | Dennis Michael Ipock (MANAGER) |
| Authorized Official Contact | 8139990505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiregrass Direct Primary Care Pllc 2236 Green Hedges Way Wesley Chapel FL 33544-8189 Ph: (813) 999-0505 | Wiregrass Direct Primary Care Pllc 2236 Green Hedges Way Wesley Chapel FL 33544-8189 Ph: (813) 999-0505 |
| NPI Number | 1649827577 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 04/11/2022 |
| Medicare PECOS PAC ID | 5890128045 |
|---|---|
| Medicare Enrollment ID | O20191203000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649827577 | NPI | - | NPPES |
| 105137300 | Medicaid | FL |
| Provider Name | Athena L Valencia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063631240 PECOS PAC ID: 5294778858 Enrollment ID: I20050604000018 |
| Provider Name | Dennis Michael Ipock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538729710 PECOS PAC ID: 6709219959 Enrollment ID: I20191203001599 |
| Provider Name | Jamie Marville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163192 PECOS PAC ID: 8224461272 Enrollment ID: I20191204002168 |
| Provider Name | Kelly Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062822 PECOS PAC ID: 5991189896 Enrollment ID: I20220825003968 |
| Provider Name | April Marie Fogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093439226 PECOS PAC ID: 2668842089 Enrollment ID: I20221229002098 |
| Provider Name | Elena Elizabeth Barerra Chamorro-cagwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740866540 PECOS PAC ID: 1951773035 Enrollment ID: I20230220000154 |
| Provider Name | Mariangely Gomez-melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366199432 PECOS PAC ID: 0244604874 Enrollment ID: I20230322003083 |
| Provider Name | Christine Raffoul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437923372 PECOS PAC ID: 1355791930 Enrollment ID: I20231221003633 |
| Provider Name | Fady Sherif Guirguis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194579169 PECOS PAC ID: 9739529322 Enrollment ID: I20240430001504 |
| Provider Name | James Douglas Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467043232 PECOS PAC ID: 7315471489 Enrollment ID: I20241112002177 |
| Provider Name | Robert Compitello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861211195 PECOS PAC ID: 0143754234 Enrollment ID: I20241112003154 |
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