| Psychiatry Associates Of Tallahassee, Llc | |
|
1407 M D Ln Ste A Tallahassee FL 32308-5349 | |
| (850) 877-0635 | |
| (850) 205-0195 |
| Full Name | Psychiatry Associates Of Tallahassee, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1407 M D Ln Ste A, Tallahassee, Florida |
| Authorized Official Name and Position | Pauline Sabitsch (PRACTICE MANAGER) |
| Authorized Official Contact | 8508770635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Associates Of Tallahassee, Llc 1407 M D Ln Ste A Tallahassee FL 32308-5349 Ph: (850) 877-0635 | Psychiatry Associates Of Tallahassee, Llc 1407 M D Ln Ste A Tallahassee FL 32308-5349 Ph: (850) 877-0635 |
| NPI Number | 1013417187 |
|---|---|
| Provider Enumeration Date | 02/15/2018 |
| Last Update Date | 02/15/2018 |
| Medicare PECOS PAC ID | 7517221187 |
|---|---|
| Medicare Enrollment ID | O20180507001836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013417187 | NPI | - | NPPES |
| Provider Name | Debra Ellen Vangaasbeek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770665994 PECOS PAC ID: 6204971377 Enrollment ID: I20100302000142 |
| Provider Name | Sterling E Corry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235386137 PECOS PAC ID: 0446437420 Enrollment ID: I20110527000555 |
| Provider Name | Faisal A Munasifi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437222403 PECOS PAC ID: 3971779521 Enrollment ID: I20120103000087 |
| Provider Name | Theresa Winton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073860383 PECOS PAC ID: 9739338617 Enrollment ID: I20121009000795 |
| Provider Name | Kelly E Sunshine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735851 PECOS PAC ID: 0749561611 Enrollment ID: I20170109000901 |
| Provider Name | Lina Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144412388 PECOS PAC ID: 7012221930 Enrollment ID: I20170614002593 |
| Provider Name | Jamie Lee Sorenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457619603 PECOS PAC ID: 3971885385 Enrollment ID: I20210809000860 |
| Provider Name | Sally Sirmans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447853601 PECOS PAC ID: 4789070053 Enrollment ID: I20220413002741 |
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