Hni Ambulatory Services Of Florida, Llc - Medicare Mental Health Clinic in Fruit Cove, FL

Hni Ambulatory Services Of Florida, Llc is a medicare enrolled mental health clinic (Internal Medicine) in Fruit Cove, Florida. The current practice location for Hni Ambulatory Services Of Florida, Llc is 25 State Road 13, Fruit Cove, Florida. For appointments, you can reach them via phone at (904) 287-7300. The mailing address for Hni Ambulatory Services Of Florida, Llc is 7500 Rialto Blvd Ste 140, Austin, Texas and phone number is () -.

Hni Ambulatory Services Of Florida, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245965482. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 287-7300.

Contact Information

Hni Ambulatory Services Of Florida, Llc
25 State Road 13
Fruit Cove
FL 32259-2842
(904) 287-7300
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameHni Ambulatory Services Of Florida, Llc
SpecialityInternal Medicine
Location25 State Road 13, Fruit Cove, Florida
Authorized Official Name and PositionChad Pew (VICE PRESIDENT OF OPERATIONS)
Authorized Official Contact5127303060
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hni Ambulatory Services Of Florida, Llc
7500 Rialto Blvd Ste 140
Austin
TX 78735-8531

Ph: () -
Hni Ambulatory Services Of Florida, Llc
25 State Road 13
Fruit Cove
FL 32259-2842

Ph: (904) 287-7300

NPI Details:

NPI Number1245965482
Provider Enumeration Date07/21/2022
Last Update Date06/21/2024
Certification Date06/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3072973791
Medicare Enrollment IDO20230713000662

Medical Identifiers

Medical identifiers for Hni Ambulatory Services Of Florida, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245965482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry (* (Not Available))Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (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. Hni Ambulatory Services Of Florida, Llc acts as a billing entity for following providers:
Provider NameWilliam F Dewolf
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1346405511
PECOS PAC ID: 5799831954
Enrollment ID: I20190723000608
Provider NameRose Carla Doldine Gaspard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477229151
PECOS PAC ID: 0143618371
Enrollment ID: I20211021000008
Provider NameCarla Mucko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811623556
PECOS PAC ID: 0941660674
Enrollment ID: I20230713000855

Reviews and Comments

Internal Medicine in Fruit Cove, FL


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.