| Concord Health | |
|
2454 N Mcmullen Booth Rd Ste 501-504 Clearwater FL 33759-1353 | |
| (727) 285-8770 | |
| (727) 285-8774 |
| Full Name | Concord Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2454 N Mcmullen Booth Rd Ste 501-504, Clearwater, Florida |
| Authorized Official Name and Position | Scott Scargle (PRACTICE MANAGER) |
| Authorized Official Contact | 7275140065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Health 2454 N Mcmullen Booth Rd Ste 502 Clearwater FL 33759-1340 Ph: (727) 285-8770 | Concord Health 2454 N Mcmullen Booth Rd Ste 501-504 Clearwater FL 33759-1353 Ph: (727) 285-8770 |
| NPI Number | 1962678383 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 08/25/2024 |
| Certification Date | 08/25/2024 |
| Medicare PECOS PAC ID | 9436217841 |
|---|---|
| Medicare Enrollment ID | O20081028000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962678383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 92792 (Florida) | Primary |
| Provider Name | Bernadette E Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881788248 PECOS PAC ID: 4789573908 Enrollment ID: I20040315000848 |
| Provider Name | Michelle R Scargle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093867012 PECOS PAC ID: 6103905690 Enrollment ID: I20080508000745 |
| Provider Name | Elizabeth Mae Di Martino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184373391 PECOS PAC ID: 1456737345 Enrollment ID: I20220929002271 |
| Provider Name | Andrew Wargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306609458 PECOS PAC ID: 1456796374 Enrollment ID: I20240301002545 |
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