Root Cause Medical Clinic Llc is a medicare enrolled "General Practice" provider in Tampa, Florida. Their current practice location is
15049 Bruce B Downs Blvd, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at
(937) 216-9048.
Root Cause Medical Clinic Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Root Cause Medical Clinic Llc
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 1962854802.
Healthcare Provider's Profile
Full Name | Root Cause Medical Clinic Llc |
---|
Type | Facility |
---|
Speciality | General Practice |
---|
Location | 15049 Bruce B Downs Blvd, Tampa, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962854802
- Provider Enumeration Date: 07/04/2016
- Last Update Date: 02/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305127408
- Enrollment ID: O20170104000653
Medical Identifiers
Medical identifiers for Root Cause Medical Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962854802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207L00000X | Anesthesiology | (* (Not Available)) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Root Cause Medical Clinic Llc acts as a billing entity for following providers:
Provider Name | Paul D Anderson |
---|
Provider Type | Practitioner - Anesthesiology |
---|
Provider Identifiers | NPI Number: 1366738379 PECOS PAC ID: 8123336682 Enrollment ID: I20151001003025 |
---|
Provider Name | Karen Abrams |
---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
---|
Provider Identifiers | NPI Number: 1861849648 PECOS PAC ID: 4880971100 Enrollment ID: I20170515000923 |
---|
Provider Name | Monique R Wyche |
---|
Provider Type | Practitioner - Nurse Practitioner |
---|
Provider Identifiers | NPI Number: 1447881404 PECOS PAC ID: 2567899198 Enrollment ID: I20200220002279 |
---|
Provider Name | Jessica Lynne Moscoso |
---|
Provider Type | Practitioner - Nurse Practitioner |
---|
Provider Identifiers | NPI Number: 1548834450 PECOS PAC ID: 6800295882 Enrollment ID: I20210524002335 |
---|
Provider Name | Isaac J Baime |
---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
---|
Provider Identifiers | NPI Number: 1326622077 PECOS PAC ID: 0840696779 Enrollment ID: I20210901001228 |
---|
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. Root Cause Medical Clinic Llc 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 Address | Practice Location Address |
Root Cause Medical Clinic Llc 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 Ph: (937) 216-9048 | Root Cause Medical Clinic Llc 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 Ph: (937) 216-9048 |
Reviews and Comments