<unavail> in Niceville, FL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Niceville, Florida. The current practice location for is 4566 E Highway 20 Ste 105, Niceville, Florida. For appointments, you can reach them via phone at (850) 483-3313. The mailing address for is 402 Tiger Pointe Dr, Niceville, Florida and phone number is (850) 218-6382.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457065203. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (850) 483-3313.

Contact Information


	4566 E Highway 20 Ste 105 Niceville FL 32578-8839
	(850) 483-3313
	(850) 483-3372

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4566 E Highway 20 Ste 105, Niceville, Florida
Authorized Official Name and Position	Ann Gwinnup (MANAGER)
Authorized Official Contact	8502186382
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
402 Tiger Pointe Dr Niceville FL 32578-2982 Ph: (850) 218-6382	4566 E Highway 20 Ste 105 Niceville FL 32578-8839 Ph: (850) 483-3313

NPI Details:

NPI Number	1457065203
Provider Enumeration Date	01/06/2023
Last Update Date	05/04/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	8527426345
Medicare Enrollment ID	O20230626002542

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457065203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Ann Kathryn Gwinnup
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1447244223 PECOS PAC ID: 4688624125 Enrollment ID: I20070320000225

Provider Name	Rachel Lauren White
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1669025078 PECOS PAC ID: 4385975614 Enrollment ID: I20191017000469

Reviews and Comments

Clinic/Center in Niceville, FL

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Pat T. Tidwell Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4554 Highway 20 East, Niceville, FL 32578 Phone: 850-678-6735 Fax: 850-678-8078
Mark E. Schroeder M.d.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 College Blvd W, Suite C, Niceville, FL 32578 Phone: 850-678-3994
Julie Staats Do Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 Partin Dr N Ste 120, Niceville, FL 32578 Phone: 850-279-3040 Fax: 850-279-3312
Select Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 Twin Cities Blvd Ste A, Niceville, FL 32578 Phone: 850-729-3325

- Medicare Primary Care in Niceville, FL