| Suwannee County Health Department | |
|
915 Nobles Ferry Rd Po Drawer 6030 Live Oak FL 32064-2800 | |
| (386) 362-2708 | |
| (386) 362-6301 |
| Full Name | Suwannee County Health Department |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 915 Nobles Ferry Rd, Live Oak, Florida |
| Authorized Official Name and Position | Pamela Blackmon (ADMINISTRATOR) |
| Authorized Official Contact | 3863622708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suwannee County Health Department Po Drawer 6030 915 Nobles Ferry Road Live Oak FL 32064-2800 Ph: (386) 362-2708 | Suwannee County Health Department 915 Nobles Ferry Rd Po Drawer 6030 Live Oak FL 32064-2800 Ph: (386) 362-2708 |
| NPI Number | 1215973870 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 10/29/2012 |
| Medicare PECOS PAC ID | 3072424282 |
|---|---|
| Medicare Enrollment ID | O20050908000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215973870 | NPI | - | NPPES |
| 051832809 | Medicaid | FL | |
| 051832800 | Medicaid | FL | |
| 051832830 | Medicaid | FL |
| Provider Name | Jennifer White Janelle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750491403 PECOS PAC ID: 2163444506 Enrollment ID: I20051228000459 |
| Provider Name | Deanna Mericle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205903952 PECOS PAC ID: 2567564735 Enrollment ID: I20070220000164 |
| Provider Name | Terri L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053547695 PECOS PAC ID: 2769515923 Enrollment ID: I20100809000758 |
| Provider Name | Girish Bhaskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477599751 PECOS PAC ID: 0143403139 Enrollment ID: I20110329000678 |
| Provider Name | Jose A Diaz Barrientos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538238480 PECOS PAC ID: 1850298043 Enrollment ID: I20160413002214 |
| Provider Name | Lara Beth Gadkowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548433816 PECOS PAC ID: 7618042813 Enrollment ID: I20170919003840 |
Smile Designs By Dr. Charlotte Gerry L/o Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Howard St E, Live Oak, FL 32064 Phone: 386-362-6800 Fax: 386-364-5199 | |
Higgins & White Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Railroad Ave Se, Live Oak, FL 32064 Phone: 386-362-6556 | |
Harold R. Arthur, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 11th St Sw, Live Oak, FL 32064 Phone: 386-330-5181 Fax: 386-330-2320 |