Emerald Coast Diabetes & Nutrition Center - Medicare in Fort Walton Beach, FL

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Emerald Coast Diabetes & Nutrition Center is a medicare enrolled "General Practice" provider in Fort Walton Beach, Florida. Their current practice location is 115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, Florida. You can reach out to their office (for appointments etc.) via phone at (850) 374-7604.

Emerald Coast Diabetes & Nutrition Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Emerald Coast Diabetes & Nutrition 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 1700307550.

Contact Information

Emerald Coast Diabetes & Nutrition Center
115 Miracle Strip Pkwy Se Unit 101,
Fort Walton Beach, FL 32548-5976
(850) 374-7604
(850) 792-2545

Map and Direction




Healthcare Provider's Profile

Full NameEmerald Coast Diabetes & Nutrition Center
TypeFacility
SpecialityGeneral Practice
Location115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700307550
  • Provider Enumeration Date: 07/02/2017
  • Last Update Date: 09/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456624287
  • Enrollment ID: O20170830001343

Medical Identifiers

Medical identifiers for Emerald Coast Diabetes & Nutrition Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700307550NPI-NPPES
1J0TMOtherFLBCBS
ND3885OtherFLFLORIDA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered ND3885 (Florida)Secondary
208D00000XGeneral Practice (* (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. Emerald Coast Diabetes & Nutrition Center acts as a billing entity for following providers:
Provider NameMelissa Ruth Brannon
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1184670895
PECOS PAC ID: 4688685936
Enrollment ID: I20060526000071
Provider NameDeanna Howard-gonzalez
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881823060
PECOS PAC ID: 7517013816
Enrollment ID: I20090928000351
Provider NameKaitlyn Eigenbrode
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1649803834
PECOS PAC ID: 2961833223
Enrollment ID: I20200521000166
Provider NameMegan Nicole Koistinen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1992269450
PECOS PAC ID: 7214340561
Enrollment ID: I20210120002726
Provider NameRebekah Burns Saar
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1508909193
PECOS PAC ID: 2466898267
Enrollment ID: I20240418002649

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. Emerald Coast Diabetes & Nutrition 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
Emerald Coast Diabetes & Nutrition Center
115 Miracle Strip Pkwy Se Unit 101,
Fort Walton Beach, FL 32548-5976

Ph: (850) 374-7604		Emerald Coast Diabetes & Nutrition Center
115 Miracle Strip Pkwy Se Unit 101,
Fort Walton Beach, FL 32548-5976

Ph: (850) 374-7604

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.