Citrus Ridge Health Center - Medicare in Davenport, FL

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Citrus Ridge Health Center is a medicare enrolled "Clinic/center - Multi-specialty" provider in Davenport, Florida. Their current practice location is 115 Lake Davenport Blvd, Davenport, Florida. You can reach out to their office (for appointments etc.) via phone at (863) 256-5030.

Citrus Ridge Health Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Citrus Ridge Health Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1356639017.

Contact Information

Citrus Ridge Health Center
115 Lake Davenport Blvd,
Davenport, FL 33897-9440
(863) 256-5030
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCitrus Ridge Health Center
TypeFacility
SpecialityClinic/center - Multi-specialty
Location115 Lake Davenport Blvd, Davenport, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356639017
  • Provider Enumeration Date: 07/15/2011
  • Last Update Date: 04/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365608452
  • Enrollment ID: O20120717000520

Medical Identifiers

Medical identifiers for Citrus Ridge Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356639017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (Florida)Secondary
261QM1300XClinic/center - Multi-specialty (* (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. Citrus Ridge Health Center acts as a billing entity for following providers:
Provider NameScott David Barnhart
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1982690418
PECOS PAC ID: 6507844131
Enrollment ID: I20040714000132
Provider NameAngela Marie Rosselot
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457327876
PECOS PAC ID: 4385942911
Enrollment ID: I20160415000940
Provider NameGavril S Green-goodman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285187716
PECOS PAC ID: 4284914664
Enrollment ID: I20161130001289
Provider NameQuyen N Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376075762
PECOS PAC ID: 8628346897
Enrollment ID: I20170612000563
Provider NameKelly Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255597670
PECOS PAC ID: 0244399129
Enrollment ID: I20190307002074
Provider NameKimberly Morales
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407060544
PECOS PAC ID: 6103050612
Enrollment ID: I20190610000813
Provider NameMarlene Alix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326413931
PECOS PAC ID: 3870942717
Enrollment ID: I20231218001541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Citrus Ridge Health Center is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Citrus Ridge Health Center
115 Lake Davenport Blvd,
Davenport, FL 33897-9440

Ph: (863) 256-5030		Citrus Ridge Health Center
115 Lake Davenport Blvd,
Davenport, FL 33897-9440

Ph: (863) 256-5030

Reviews and Comments



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.