| Transitions Supportive Care Llc | |
|
1669 Mahan Center Blvd Tallahassee FL 32308-5454 | |
| (850) 878-5310 | |
| Not Available |
| Full Name | Transitions Supportive Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1669 Mahan Center Blvd, Tallahassee, Florida |
| Authorized Official Name and Position | Kimberly Baxa (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 7029602272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Supportive Care Llc 1669 Mahan Center Blvd Tallahassee FL 32308-5454 Ph: (850) 878-5310 | Transitions Supportive Care Llc 1669 Mahan Center Blvd Tallahassee FL 32308-5454 Ph: (850) 878-5310 |
| NPI Number | 1861149080 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 7214301209 |
|---|---|
| Medicare Enrollment ID | O20230314001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861149080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathleen Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437400298 PECOS PAC ID: 4880817733 Enrollment ID: I20140521001090 |
| Provider Name | Martha Kelly Waldrep Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371430 PECOS PAC ID: 0143559997 Enrollment ID: I20190904002358 |
| Provider Name | Haley R Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720719503 PECOS PAC ID: 4385007897 Enrollment ID: I20230831001774 |
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