Lillie Ruth Green, | |
278 Lasalle Lefall Dr, Quincy, FL 32351-5324 | |
(229) 726-3984 | |
Not Available |
Full Name | Lillie Ruth Green |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 278 Lasalle Lefall Dr, Quincy, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205435641 | NPI | - | NPPES |
116000800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11007976 (Florida) | Primary |
Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1346446895 PECOS PAC ID: 3072424282 Enrollment ID: O20080703000341 |
Entity Name | North Florida Rural Health Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912641341 PECOS PAC ID: 4082068168 Enrollment ID: O20230922001527 |
Mailing Address | Practice Location Address |
---|---|
Lillie Ruth Green, 1317 Blossom Cir, Tallahassee, FL 32305-6707 Ph: (229) 726-3984 | Lillie Ruth Green, 278 Lasalle Lefall Dr, Quincy, FL 32351-5324 Ph: (229) 726-3984 |
Freda E'victoria Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1730 Pat Thomas Parkway, Quincy, FL 32351 Phone: 205-545-5090 | |
Tressa M Romick, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1730 Pat Thomas Pkwy, Quincy, FL 32351 Phone: 850-662-0041 | |
Mary Beth Downs, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 278 Lasalle Lefall Dr, Quincy, FL 32351 Phone: 850-875-7200 Fax: 850-875-3618 | |
Mr. Daniel Ray Breivogel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Peachtree, Quincy, FL 32351 Phone: 850-323-1399 | |
Kristi Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Lasalle Lefall Dr, Quincy, FL 32351 Phone: 850-875-3600 | |
Alicia Melvin, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1249 Strong Rd, Quincy, FL 32351 Phone: 850-875-9500 Fax: 850-627-2786 |