| Baycare Life Management | |
|
1106 Druid Rd S Clearwater FL 33756-3846 | |
| (727) 584-6266 | |
| Not Available |
| Full Name | Baycare Life Management |
|---|---|
| Speciality | Clinic/Center |
| Location | 1106 Druid Rd S, Clearwater, Florida |
| Authorized Official Name and Position | Carl Tremonti (CFO, HOSPITAL DIVISION) |
| Authorized Official Contact | 7274627868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Life Management Po Box 403974 Atlanta GA 30384-3974 Ph: (813) 852-3272 | Baycare Life Management 1106 Druid Rd S Clearwater FL 33756-3846 Ph: (727) 584-6266 |
| NPI Number | 1417052713 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 04/16/2015 |
| Medicare PECOS PAC ID | 1456262450 |
|---|---|
| Medicare Enrollment ID | O20040115000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417052713 | NPI | - | NPPES |
| AG8 | Other | FL | BCBS |
| 000896302 | Medicaid | FL |
| Provider Name | Jeanne R Botz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508825407 PECOS PAC ID: 5991690182 Enrollment ID: I20040217000636 |
| Provider Name | Elizabeth Ann Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295757490 PECOS PAC ID: 2567351331 Enrollment ID: I20040311000690 |
| Provider Name | Srinivas Yerneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871552570 PECOS PAC ID: 9739074923 Enrollment ID: I20041007000515 |
| Provider Name | Joseph D Fishel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639215288 PECOS PAC ID: 8921069873 Enrollment ID: I20041023000091 |
| Provider Name | Edwin W Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740294883 PECOS PAC ID: 6103879341 Enrollment ID: I20050228000541 |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20050321000549 |
| Provider Name | George C Winny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942217492 PECOS PAC ID: 9537105499 Enrollment ID: I20050630000321 |
| Provider Name | Ayman G Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275567026 PECOS PAC ID: 9537101449 Enrollment ID: I20051205000102 |
| Provider Name | Mark Sinz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366523078 PECOS PAC ID: 6901827518 Enrollment ID: I20051212000177 |
| Provider Name | Nestor E Milian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407828262 PECOS PAC ID: 2163438557 Enrollment ID: I20060222000279 |
| Provider Name | Susan F Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073522983 PECOS PAC ID: 4183728561 Enrollment ID: I20070323000300 |
| Provider Name | Renee C Tapasak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477611200 PECOS PAC ID: 5597861252 Enrollment ID: I20070426000435 |
| Provider Name | Mary Ann Zigouris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043343494 PECOS PAC ID: 1658477336 Enrollment ID: I20070427000030 |
| Provider Name | Janet Waye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043433741 PECOS PAC ID: 5395837611 Enrollment ID: I20070816000339 |
| Provider Name | Takkallapelli D Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679552434 PECOS PAC ID: 2062445844 Enrollment ID: I20071101000637 |
| Provider Name | Valeria L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235326067 PECOS PAC ID: 5496842700 Enrollment ID: I20071102000647 |
| Provider Name | Michele Weintraub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679514129 PECOS PAC ID: 5991690554 Enrollment ID: I20071129000556 |
| Provider Name | Shabu Varghese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649499641 PECOS PAC ID: 0042379562 Enrollment ID: I20081112000453 |
| Provider Name | Pamela D Sherwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043305857 PECOS PAC ID: 5193707834 Enrollment ID: I20090409000559 |
| Provider Name | Debbie Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205849890 PECOS PAC ID: 5991857732 Enrollment ID: I20090709000116 |
| Provider Name | Don Alan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386653129 PECOS PAC ID: 1456404367 Enrollment ID: I20090724000306 |
| Provider Name | Kirtikumar J Pandya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568408870 PECOS PAC ID: 6800936113 Enrollment ID: I20091217000474 |
| Provider Name | Meenakshi M Mohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811905763 PECOS PAC ID: 3173665213 Enrollment ID: I20100127000612 |
| Provider Name | Tanya E. Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346418159 PECOS PAC ID: 6800911975 Enrollment ID: I20100913000658 |
| Provider Name | Lauren Berrios |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881902120 PECOS PAC ID: 4688851223 Enrollment ID: I20110607000571 |
| Provider Name | Theresa L Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104015155 PECOS PAC ID: 2062680010 Enrollment ID: I20110719000561 |
| Provider Name | Patricia Hess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669669826 PECOS PAC ID: 1153406517 Enrollment ID: I20110812000673 |
| Provider Name | Silvia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20111101000325 |
| Provider Name | Diana L Foltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952639346 PECOS PAC ID: 2062679921 Enrollment ID: I20120203000315 |
| Provider Name | Jason B Fields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639289101 PECOS PAC ID: 5496912230 Enrollment ID: I20120206000473 |
| Provider Name | Praveen K Gootam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417148610 PECOS PAC ID: 9234398447 Enrollment ID: I20120307000800 |
| Provider Name | Jennifer M Gonatos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144534835 PECOS PAC ID: 1153513197 Enrollment ID: I20120412000302 |
| Provider Name | Marnie Stefan Acta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336301753 PECOS PAC ID: 7012163231 Enrollment ID: I20120803000250 |
| Provider Name | Sarah Mcmillen Fayad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528225232 PECOS PAC ID: 1759537590 Enrollment ID: I20120809000391 |
| Provider Name | Brie A Pulas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780844720 PECOS PAC ID: 4385894682 Enrollment ID: I20121023000198 |
| Provider Name | Lauren D Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508872516 PECOS PAC ID: 6901059377 Enrollment ID: I20130115000196 |
| Provider Name | Maxine Minto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235359407 PECOS PAC ID: 7315182227 Enrollment ID: I20130326000034 |
| Provider Name | Monica M Seiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568539757 PECOS PAC ID: 0345335238 Enrollment ID: I20130502000258 |
| Provider Name | Gabrielle Ann Buettow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255349106 PECOS PAC ID: 7416194659 Enrollment ID: I20130508000135 |
| Provider Name | Jan Marie Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407975915 PECOS PAC ID: 0749427508 Enrollment ID: I20130515000107 |
| Provider Name | Ronald J Taddeo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861522245 PECOS PAC ID: 3577501816 Enrollment ID: I20130523000098 |
| Provider Name | Lauren Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659608818 PECOS PAC ID: 6103066055 Enrollment ID: I20130717000440 |
| Provider Name | Renee E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386986016 PECOS PAC ID: 5991945842 Enrollment ID: I20130717000478 |
| Provider Name | Avtar Singh Saran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245332675 PECOS PAC ID: 1759362064 Enrollment ID: I20131021001292 |
| Provider Name | Julia B Trice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285747766 PECOS PAC ID: 7517969231 Enrollment ID: I20131120001218 |
| Provider Name | John Quitman Gowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164867255 PECOS PAC ID: 4082840632 Enrollment ID: I20131204000647 |
| Provider Name | Luis A Franco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720048812 PECOS PAC ID: 3173552981 Enrollment ID: I20140210000118 |
| Provider Name | Claire E Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013930205 PECOS PAC ID: 6406079607 Enrollment ID: I20140515000822 |
| Provider Name | Maykel Luna Concepcion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083841852 PECOS PAC ID: 8224297155 Enrollment ID: I20140729000748 |
| Provider Name | Jarryd D. Lunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407260565 PECOS PAC ID: 3476771627 Enrollment ID: I20140829000743 |
| Provider Name | Cathleen A Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023297678 PECOS PAC ID: 5698855880 Enrollment ID: I20140925001765 |
| Provider Name | Peter Daniel Downes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801296587 PECOS PAC ID: 2163644154 Enrollment ID: I20141106001077 |
| Provider Name | Richard Allan Callahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215378336 PECOS PAC ID: 4587886221 Enrollment ID: I20141112001350 |
| Provider Name | Sarah E Shirina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003218769 PECOS PAC ID: 0547482069 Enrollment ID: I20141117000672 |
| Provider Name | Mark S Simko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255495800 PECOS PAC ID: 7719170851 Enrollment ID: I20150206000706 |
| Provider Name | Hanish Sethi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215967328 PECOS PAC ID: 2860382652 Enrollment ID: I20150223000882 |
| Provider Name | Gurkiran Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194967216 PECOS PAC ID: 9931425915 Enrollment ID: I20150310001990 |
| Provider Name | Adrienne R Eisner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144514605 PECOS PAC ID: 5395988950 Enrollment ID: I20150721003213 |
| Provider Name | San K Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821382730 PECOS PAC ID: 0345483681 Enrollment ID: I20151014001765 |
| Provider Name | Ana Suarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164706404 PECOS PAC ID: 8921317819 Enrollment ID: I20151015001008 |
| Provider Name | Richard A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699903641 PECOS PAC ID: 6709186281 Enrollment ID: I20151207000805 |
| Provider Name | Renata Angelini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720249030 PECOS PAC ID: 2860667565 Enrollment ID: I20160211001034 |
| Provider Name | Endra Sookoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386933158 PECOS PAC ID: 3577868934 Enrollment ID: I20160223000531 |
| Provider Name | Pradeep D Marballi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760557797 PECOS PAC ID: 5193898617 Enrollment ID: I20160726001878 |
| Provider Name | Kazi F Hossain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588920011 PECOS PAC ID: 8224328448 Enrollment ID: I20160801000291 |
| Provider Name | Rachel Rohaidy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730475823 PECOS PAC ID: 3375838980 Enrollment ID: I20160822001758 |
| Provider Name | Brandon J Deliberato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770882011 PECOS PAC ID: 6800019498 Enrollment ID: I20160823002956 |
| Provider Name | Yasna J Heravi-burgos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881997161 PECOS PAC ID: 3072836972 Enrollment ID: I20161107002246 |
| Provider Name | Matthew C Ferrara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326480294 PECOS PAC ID: 2163701129 Enrollment ID: I20161115000129 |
| Provider Name | Arvinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700117405 PECOS PAC ID: 5890819833 Enrollment ID: I20161129001037 |
| Provider Name | David E Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013061530 PECOS PAC ID: 5890948657 Enrollment ID: I20161221001823 |
| Provider Name | Mark L Catterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902997968 PECOS PAC ID: 7517909336 Enrollment ID: I20170104000731 |
| Provider Name | Ingrid C Hernandez Selman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366616047 PECOS PAC ID: 9032343074 Enrollment ID: I20170119000930 |
| Provider Name | Ankita A Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477972446 PECOS PAC ID: 1759663735 Enrollment ID: I20170127000267 |
| Provider Name | Kristie Jetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750624805 PECOS PAC ID: 2264718931 Enrollment ID: I20170411002648 |
| Provider Name | Haider Shahid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598184145 PECOS PAC ID: 0244517753 Enrollment ID: I20170511000542 |
| Provider Name | Simone M Clement Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952853129 PECOS PAC ID: 2264709732 Enrollment ID: I20170605001773 |
| Provider Name | Radhika Sriram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639217193 PECOS PAC ID: 4385620293 Enrollment ID: I20170606003133 |
| Provider Name | Amy J Tower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376633651 PECOS PAC ID: 2860652575 Enrollment ID: I20170925001145 |
| Provider Name | Kelly Spence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831489657 PECOS PAC ID: 2567768609 Enrollment ID: I20170929002281 |
| Provider Name | Zoe Lorca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306297866 PECOS PAC ID: 2466727847 Enrollment ID: I20171011001505 |
| Provider Name | Tg Sriram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518937309 PECOS PAC ID: 8921097205 Enrollment ID: I20171118000115 |
| Provider Name | Amy M Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912315714 PECOS PAC ID: 9830457258 Enrollment ID: I20171212002918 |
| Provider Name | Elisabeth G Benovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811407562 PECOS PAC ID: 0941569263 Enrollment ID: I20180112001099 |
| Provider Name | Kelly J Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215442165 PECOS PAC ID: 1456610443 Enrollment ID: I20180119002403 |
| Provider Name | Christina R Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972859353 PECOS PAC ID: 1355595257 Enrollment ID: I20180122003164 |
| Provider Name | Crystal M Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407294184 PECOS PAC ID: 8820222474 Enrollment ID: I20180126001382 |
| Provider Name | Jennifer A Jackson-wohl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518939362 PECOS PAC ID: 4688664022 Enrollment ID: I20180205001596 |
| Provider Name | Morgan R Dion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275998437 PECOS PAC ID: 1850675810 Enrollment ID: I20180320000796 |
| Provider Name | Jennifer L Geigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124522289 PECOS PAC ID: 8921362443 Enrollment ID: I20180510000223 |
| Provider Name | Harold A Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184079998 PECOS PAC ID: 4587928726 Enrollment ID: I20180516000356 |
| Provider Name | Saraswathi Tirumalasetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821006172 PECOS PAC ID: 1355606401 Enrollment ID: I20180521002051 |
| Provider Name | Gregory P Arthmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417394982 PECOS PAC ID: 0749401107 Enrollment ID: I20180709000786 |
| Provider Name | Lulu S Tsai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811109952 PECOS PAC ID: 2365335767 Enrollment ID: I20180719000798 |
| Provider Name | Marc Ettensohn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861753899 PECOS PAC ID: 9133355563 Enrollment ID: I20181110000181 |
| Provider Name | Britani M Lalone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619418225 PECOS PAC ID: 3678845252 Enrollment ID: I20190225001729 |
| Provider Name | Debra L Stibick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588641666 PECOS PAC ID: 4385649193 Enrollment ID: I20190318000703 |
| Provider Name | Narlin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407325244 PECOS PAC ID: 4587907779 Enrollment ID: I20190509001388 |
| Provider Name | Terri M Belanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801954847 PECOS PAC ID: 7719938224 Enrollment ID: I20190610000938 |
| Provider Name | Melanie L Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215335922 PECOS PAC ID: 9537492277 Enrollment ID: I20190611002838 |
| Provider Name | Pavel Sigel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619384906 PECOS PAC ID: 6103174198 Enrollment ID: I20190625002230 |
| Provider Name | Wil E Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720348592 PECOS PAC ID: 2668791963 Enrollment ID: I20190625003031 |
| Provider Name | Lisa M Moser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700368123 PECOS PAC ID: 4183687213 Enrollment ID: I20190731000427 |
| Provider Name | Newton Agrawal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023376936 PECOS PAC ID: 3274862826 Enrollment ID: I20190909000751 |
| Provider Name | Cassie Liston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376191171 PECOS PAC ID: 1557693553 Enrollment ID: I20191024000104 |
| Provider Name | Alfredo Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871937391 PECOS PAC ID: 5496018939 Enrollment ID: I20191125000754 |
| Provider Name | Kayla Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528605896 PECOS PAC ID: 9830523620 Enrollment ID: I20200103000697 |
| Provider Name | Nicole A Millar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710123435 PECOS PAC ID: 6507292133 Enrollment ID: I20200130001237 |
| Provider Name | April N Lange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003205816 PECOS PAC ID: 1052638558 Enrollment ID: I20200605001524 |
| Provider Name | Amanda E Humphries |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245684422 PECOS PAC ID: 4981025384 Enrollment ID: I20200610000670 |
| Provider Name | Diego Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548605751 PECOS PAC ID: 6507115326 Enrollment ID: I20200625000643 |
| Provider Name | Ahmed Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497166656 PECOS PAC ID: 3678799798 Enrollment ID: I20200626001625 |
| Provider Name | Lisa A Dush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881193456 PECOS PAC ID: 8921421348 Enrollment ID: I20200701003043 |
| Provider Name | Neel Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205216058 PECOS PAC ID: 8628380342 Enrollment ID: I20200715000232 |
| Provider Name | Charteye Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699399691 PECOS PAC ID: 4688098577 Enrollment ID: I20200724001284 |
| Provider Name | William Thomas Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811514342 PECOS PAC ID: 8921423310 Enrollment ID: I20200731002469 |
| Provider Name | Maureen Mansour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801230644 PECOS PAC ID: 4789988098 Enrollment ID: I20200811000432 |
| Provider Name | Jessica L Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828536 PECOS PAC ID: 1951728021 Enrollment ID: I20200903001709 |
| Provider Name | Kehinde Adesokan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164871687 PECOS PAC ID: 8123448081 Enrollment ID: I20201014001099 |
| Provider Name | Pamela Pedroncelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497981310 PECOS PAC ID: 7416867478 Enrollment ID: I20201021000918 |
| Provider Name | Ali M Metheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235661935 PECOS PAC ID: 5092135517 Enrollment ID: I20201021001796 |
| Provider Name | Jovan S Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437765153 PECOS PAC ID: 0547670804 Enrollment ID: I20201028001056 |
| Provider Name | Taiwo H Emiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729334 PECOS PAC ID: 9234543117 Enrollment ID: I20210204001858 |
| Provider Name | Rowdy J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336612779 PECOS PAC ID: 0547508244 Enrollment ID: I20210309003104 |
| Provider Name | Jonathan Marshal Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629660055 PECOS PAC ID: 5890102065 Enrollment ID: I20210406001271 |
| Provider Name | Aaron Slone Jeckell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598031957 PECOS PAC ID: 9739482381 Enrollment ID: I20210414001407 |
| Provider Name | Ruby Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083620124 PECOS PAC ID: 9931167376 Enrollment ID: I20210429000217 |
| Provider Name | Daniel W Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350326 PECOS PAC ID: 3173543725 Enrollment ID: I20210504000909 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20210504001869 |
| Provider Name | Nicole Silva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205250750 PECOS PAC ID: 1951710805 Enrollment ID: I20210506000904 |
| Provider Name | Ana L Paredes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891136867 PECOS PAC ID: 3779992433 Enrollment ID: I20210510001005 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20210512000845 |
| Provider Name | Darina V Carcerano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385008 PECOS PAC ID: 7416207568 Enrollment ID: I20210517001158 |
| Provider Name | Jamie Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043318736 PECOS PAC ID: 4486603347 Enrollment ID: I20210518001082 |
| Provider Name | Mark Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20210519003031 |
| Provider Name | Arlene G Bishop-arrindell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265030050 PECOS PAC ID: 2567861404 Enrollment ID: I20210526002948 |
| Provider Name | Reginal A Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205400066 PECOS PAC ID: 1355740911 Enrollment ID: I20210602000232 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20210602000558 |
| Provider Name | Courtney A Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720686884 PECOS PAC ID: 6507266731 Enrollment ID: I20210610000130 |
| Provider Name | Brenda G Burnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043743982 PECOS PAC ID: 0042597031 Enrollment ID: I20210716001170 |
| Provider Name | Jacob Marion Poole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619498763 PECOS PAC ID: 8325304587 Enrollment ID: I20210723002605 |
| Provider Name | Jamie Lorraine Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210804003007 |
| Provider Name | Dawit Amare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992959555 PECOS PAC ID: 5395916001 Enrollment ID: I20210819000467 |
| Provider Name | James E Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104118918 PECOS PAC ID: 5799067237 Enrollment ID: I20210916002340 |
| Provider Name | Zoila Jarquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457022097 PECOS PAC ID: 1052700200 Enrollment ID: I20211110000927 |
| Provider Name | Patrick Casey Lorenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184773509 PECOS PAC ID: 9436549359 Enrollment ID: I20211208003390 |
| Provider Name | Usama Ahmad Rafique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629463369 PECOS PAC ID: 3274871223 Enrollment ID: I20211215001661 |
| Provider Name | Chedelie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083294375 PECOS PAC ID: 2365835196 Enrollment ID: I20220131001240 |
| Provider Name | Christiana Hope Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528714177 PECOS PAC ID: 5991190555 Enrollment ID: I20220317000019 |
| Provider Name | Chrysantus Nforbi Fusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205580396 PECOS PAC ID: 1355737248 Enrollment ID: I20220331002826 |
| Provider Name | Rebekah M Svadlenka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063003895 PECOS PAC ID: 9638584717 Enrollment ID: I20220418000259 |
| Provider Name | Mary Dymphina Gambrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740830942 PECOS PAC ID: 1850788993 Enrollment ID: I20220420001161 |
| Provider Name | Jason Leo Quesnelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558029348 PECOS PAC ID: 6608263694 Enrollment ID: I20220421000489 |
| Provider Name | Courtney Judd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962881946 PECOS PAC ID: 3476930090 Enrollment ID: I20220519001061 |
| Provider Name | Natalie W Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740563543 PECOS PAC ID: 7214195593 Enrollment ID: I20220608001667 |
| Provider Name | Robert Paul Blessin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801388657 PECOS PAC ID: 5395124234 Enrollment ID: I20220623000035 |
| Provider Name | Frederick Afton Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083119358 PECOS PAC ID: 3476807207 Enrollment ID: I20220623000889 |
| Provider Name | Carolyn Marie Gaulden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831689827 PECOS PAC ID: 4789063652 Enrollment ID: I20220623001123 |
| Provider Name | Kimbrelee Kaye Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730828625 PECOS PAC ID: 2961881552 Enrollment ID: I20220628003062 |
| Provider Name | Alvaro Jorge Gonzalez Alfonzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619405891 PECOS PAC ID: 0345589651 Enrollment ID: I20220629003666 |
| Provider Name | Heather Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336870799 PECOS PAC ID: 0941680433 Enrollment ID: I20220629003750 |
| Provider Name | Andrew Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154826188 PECOS PAC ID: 8820478183 Enrollment ID: I20220704000131 |
| Provider Name | Sarah L Yankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726934 PECOS PAC ID: 5193105476 Enrollment ID: I20220705000048 |
| Provider Name | Kyle Galati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932698180 PECOS PAC ID: 3072859081 Enrollment ID: I20220706000852 |
| Provider Name | Hayley Ann Nunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053068858 PECOS PAC ID: 0244613271 Enrollment ID: I20220823004168 |
| Provider Name | Jodi Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952023202 PECOS PAC ID: 3870969611 Enrollment ID: I20221019000181 |
| Provider Name | Bianca Strudwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689056061 PECOS PAC ID: 0941676571 Enrollment ID: I20221021001568 |
| Provider Name | Deep Kalariya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306333513 PECOS PAC ID: 0042682809 Enrollment ID: I20230206000406 |
| Provider Name | Erin Marie Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932805959 PECOS PAC ID: 1850764770 Enrollment ID: I20230223002467 |
| Provider Name | Benita Cardell Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902313034 PECOS PAC ID: 7618341017 Enrollment ID: I20230327002100 |
| Provider Name | Aubrey Anne Francavilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063115665 PECOS PAC ID: 7719352335 Enrollment ID: I20230413001899 |
| Provider Name | Jessica Lynn Tancos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417657107 PECOS PAC ID: 8022177617 Enrollment ID: I20230509002579 |
| Provider Name | Mark Kainbridge Weaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033614854 PECOS PAC ID: 3072860451 Enrollment ID: I20230828003217 |
| Provider Name | Melissa Jane Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093414542 PECOS PAC ID: 2365816857 Enrollment ID: I20230901003283 |
| Provider Name | Dianne L Butts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912312950 PECOS PAC ID: 5799133914 Enrollment ID: I20231129001302 |
| Provider Name | Robyn Leslie Alexandrou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801436639 PECOS PAC ID: 4880042977 Enrollment ID: I20231130000699 |
| Provider Name | Jackleen M Levy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922513290 PECOS PAC ID: 0648628750 Enrollment ID: I20231130001336 |
| Provider Name | Jeanette Kunselman-issa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922376243 PECOS PAC ID: 7113375106 Enrollment ID: I20231201000800 |
| Provider Name | Lauren A Matos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265849368 PECOS PAC ID: 4284082272 Enrollment ID: I20231201000914 |
| Provider Name | Jatharine Mercado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124673702 PECOS PAC ID: 3870941883 Enrollment ID: I20231201001612 |
| Provider Name | Adrianna C Peguero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912320656 PECOS PAC ID: 1052769866 Enrollment ID: I20231204002455 |
| Provider Name | Sonya J. Bufe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659545119 PECOS PAC ID: 2961850706 Enrollment ID: I20231205000043 |
| Provider Name | Benjamin T Pollock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396361812 PECOS PAC ID: 3173971934 Enrollment ID: I20231205000742 |
| Provider Name | Esterina Leanne Carriera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578978896 PECOS PAC ID: 4789033473 Enrollment ID: I20231206002453 |
| Provider Name | Trina M Searing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023756137 PECOS PAC ID: 7416306931 Enrollment ID: I20231209000415 |
| Provider Name | Jennifer Melissa Vasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669029575 PECOS PAC ID: 7012366917 Enrollment ID: I20231217000060 |
| Provider Name | Nancy Jane Weddell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891709333 PECOS PAC ID: 8527418334 Enrollment ID: I20231220000495 |
| Provider Name | Ramon Alberto Recio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730452442 PECOS PAC ID: 9436509049 Enrollment ID: I20231222000803 |
| Provider Name | Miyosia T Plummer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659635274 PECOS PAC ID: 9032569223 Enrollment ID: I20231229002934 |
| Provider Name | Angela Denise Beal Chaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316402142 PECOS PAC ID: 4880044858 Enrollment ID: I20240103002529 |
| Provider Name | Kathryn A Dittmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699131714 PECOS PAC ID: 7012368855 Enrollment ID: I20240105003108 |
| Provider Name | John Joseph Clare |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811243280 PECOS PAC ID: 2466803069 Enrollment ID: I20240108005814 |
| Provider Name | Kelly Lynn Rubin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841066545 PECOS PAC ID: 3375995632 Enrollment ID: I20240123000845 |
| Provider Name | Irene A Burkett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356899108 PECOS PAC ID: 7113361908 Enrollment ID: I20240220003676 |
| Provider Name | Stephen A Giunta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801937941 PECOS PAC ID: 9638515232 Enrollment ID: I20240305004541 |
| Provider Name | Virginia Amanda Ulloa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467074922 PECOS PAC ID: 0345782991 Enrollment ID: I20240611001016 |
Loredana Repetto Lcsw & Assoc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 Phone: 727-669-3911 Fax: 727-669-3813 | |
Empower, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Range Rd, Clearwater, FL 33765 Phone: 727-410-8911 Fax: 727-223-8917 | |
Baycare Medical Group, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2995 Drew St Fl 2, Clearwater, FL 33759 Phone: 727-281-9065 | |
Bay Area Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13575 58th St N, Suite 131, Clearwater, FL 33760 Phone: 813-689-8828 Fax: 813-689-8802 | |
Camelot Community Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Creekside Dr, Suite D, Clearwater, FL 33760 Phone: 727-593-0003 Fax: 727-596-1713 | |
Renee Michaels Lcsw Cap Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Rd, Suite 203, Clearwater, FL 33765 Phone: 727-669-3811 Fax: 727-669-3813 | |
Debbie A. Noe, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2451 N Mcmullen Booth Rd, Clearwater, FL 33759 Phone: 727-542-8662 |