| Bell Eve, Inc. | |
|
1451 Dixon Blvd Cocoa FL 32922-6411 | |
| (321) 636-4357 | |
| (321) 541-9138 |
| Full Name | Bell Eve, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1451 Dixon Blvd, Cocoa, Florida |
| Authorized Official Name and Position | Daniel Woodard (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3216364357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bell Eve, Inc. 1451 Dixon Blvd Cocoa FL 32922-6411 Ph: (321) 514-5829 | Bell Eve, Inc. 1451 Dixon Blvd Cocoa FL 32922-6411 Ph: (321) 636-4357 |
| NPI Number | 1679015499 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 3274895388 |
|---|---|
| Medicare Enrollment ID | O20200304000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679015499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marcia E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760452940 PECOS PAC ID: 0042220956 Enrollment ID: I20060421000261 |
| Provider Name | Daniel Woodard |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1659506780 PECOS PAC ID: 8820131972 Enrollment ID: I20100211000410 |
| Provider Name | Martha K Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134366586 PECOS PAC ID: 7618228610 Enrollment ID: I20210617000062 |
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