| Jessie Trice Community Health System, Inc | |
|
5361 Nw 22nd Ave Miami FL 33142-8035 | |
| (305) 637-6400 | |
| (305) 805-1715 |
| Full Name | Jessie Trice Community Health System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5361 Nw 22nd Ave, Miami, Florida |
| Authorized Official Name and Position | Annie R. Neasman (PRESIDENT & CEO) |
| Authorized Official Contact | 3058051700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Trice Community Health System, Inc 5607 Nw 27th Ave Suite 1 Miami FL 33142-2826 Ph: (305) 805-1700 | Jessie Trice Community Health System, Inc 5361 Nw 22nd Ave Miami FL 33142-8035 Ph: (305) 637-6400 |
| NPI Number | 1689605362 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 2961486733 |
|---|---|
| Medicare Enrollment ID | O20041020000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689605362 | NPI | - | NPPES |
| 029541800 | Medicaid | FL | |
| 060826200 | Medicaid | FL | |
| 029541801 | Medicaid | FL |
| Provider Name | Teresa Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528160181 PECOS PAC ID: 8628982147 Enrollment ID: I20031118000506 |
| Provider Name | Joy Munajj Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013931773 PECOS PAC ID: 6709843469 Enrollment ID: I20041214000629 |
| Provider Name | John K Fusselman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083711196 PECOS PAC ID: 4385693894 Enrollment ID: I20050121000266 |
| Provider Name | Myriam N Gerstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275800104 PECOS PAC ID: 4082655923 Enrollment ID: I20050520000228 |
| Provider Name | Kia Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558452540 PECOS PAC ID: 7911086376 Enrollment ID: I20080509000440 |
| Provider Name | Joycelyn Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881659365 PECOS PAC ID: 2365568425 Enrollment ID: I20100925000335 |
| Provider Name | Sargine Dupuy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760443899 PECOS PAC ID: 3072784172 Enrollment ID: I20110921000725 |
| Provider Name | Ronald J Borge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831103605 PECOS PAC ID: 9638334923 Enrollment ID: I20120712000360 |
| Provider Name | Sheryl Reaves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023301280 PECOS PAC ID: 7315194826 Enrollment ID: I20150213000305 |
| Provider Name | Alonzo Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730417023 PECOS PAC ID: 5496898819 Enrollment ID: I20151007000423 |
| Provider Name | Natalia M Uribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841671955 PECOS PAC ID: 4284949793 Enrollment ID: I20190107002970 |
| Provider Name | Darline Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669714465 PECOS PAC ID: 9335486497 Enrollment ID: I20190128001292 |
| Provider Name | Nadia Melba Alethia Cumberbatch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528455300 PECOS PAC ID: 5890066112 Enrollment ID: I20190206002257 |
| Provider Name | Herve P M Corbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194240283 PECOS PAC ID: 1153660683 Enrollment ID: I20190228001083 |
| Provider Name | Arianne Cordon Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871983551 PECOS PAC ID: 6305138546 Enrollment ID: I20200318000213 |
| Provider Name | Kesha Deneen Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902339518 PECOS PAC ID: 8729406863 Enrollment ID: I20200922001028 |
| Provider Name | Louise Dogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447850417 PECOS PAC ID: 8527478676 Enrollment ID: I20201102001210 |
| Provider Name | Brittney Anne Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952996928 PECOS PAC ID: 5496163255 Enrollment ID: I20210415000294 |
| Provider Name | Sirac Cardoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154771939 PECOS PAC ID: 9739426917 Enrollment ID: I20210524000158 |
| Provider Name | Joain Sophie Silvera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508333063 PECOS PAC ID: 6002213899 Enrollment ID: I20210921002587 |
| Provider Name | Effie Nyerai Simoyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700474350 PECOS PAC ID: 6507263779 Enrollment ID: I20210930002383 |
| Provider Name | Ali-reza Force |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487041752 PECOS PAC ID: 2567782055 Enrollment ID: I20220412002648 |
| Provider Name | Julia Nektal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356702344 PECOS PAC ID: 7012296924 Enrollment ID: I20220418000757 |
| Provider Name | Alexia Charles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407351216 PECOS PAC ID: 8224449905 Enrollment ID: I20221007000872 |
| Provider Name | Dana Walker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386200053 PECOS PAC ID: 2365811858 Enrollment ID: I20221205002052 |
| Provider Name | Javier Salmen Namen Alarcon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255857801 PECOS PAC ID: 7315316262 Enrollment ID: I20221215001136 |
| Provider Name | Vanessa Lebron |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619336369 PECOS PAC ID: 9133407984 Enrollment ID: I20221215002723 |
| Provider Name | Deborah George |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720149180 PECOS PAC ID: 6406166388 Enrollment ID: I20221227000014 |
| Provider Name | Maria Teresa Feiz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932615929 PECOS PAC ID: 2466822333 Enrollment ID: I20230110003296 |
| Provider Name | Janet Cathrine Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992292254 PECOS PAC ID: 1557731353 Enrollment ID: I20230111001950 |
| Provider Name | Mary Cecilia Crosby |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194761213 PECOS PAC ID: 1153792114 Enrollment ID: I20230130002462 |
| Provider Name | Rejane Rameau |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659541175 PECOS PAC ID: 5092188979 Enrollment ID: I20230223000780 |
| Provider Name | Gabriela Rocha |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003520578 PECOS PAC ID: 4385018043 Enrollment ID: I20230320001483 |
| Provider Name | Tyronique Zakarra Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538949623 PECOS PAC ID: 6103269436 Enrollment ID: I20240202003869 |
| Provider Name | Lenon Juan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497270599 PECOS PAC ID: 4385064914 Enrollment ID: I20240416004198 |
| Provider Name | Pierre Antonio Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821573445 PECOS PAC ID: 0042652919 Enrollment ID: I20240523000647 |
| Provider Name | Subhashree Nayak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316400211 PECOS PAC ID: 9830531276 Enrollment ID: I20240530001491 |
Future Care Solution Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Sw 67th Ave, Miami, FL 33155 Phone: 305-740-6960 Fax: 305-740-6959 | |
Kids Behaviors Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Sw 143rd Pl, Miami, FL 33186 Phone: 786-523-2414 | |
Deborah M. Thevenin, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7685 Sw 104th St, Suite 100, Miami, FL 33156 Phone: 305-666-8000 Fax: 305-666-4311 | |
Miami-dade County Community Action And Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nw 79th St, Miami, FL 33150 Phone: 305-751-4342 Fax: 305-759-2763 | |
Luzmila Victorero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Sw 77th Ave, Miami, FL 33144 Phone: 786-406-4933 | |
Adaga Therapy Group Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2926 Sw 145th Ave, Miami, FL 33175 Phone: 305-301-1856 | |
Advance Behavior Coalition Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14531 Sw 157th Ct, Miami, FL 33196 Phone: 305-733-9005 |