| Bailey Grade Medical Care, Llc | |
|
289 Sw Range Ave Suite C Madison FL 32340 | |
| (850) 973-2252 | |
| (855) 531-6313 |
| Full Name | Bailey Grade Medical Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 289 Sw Range Ave, Madison, Florida |
| Authorized Official Name and Position | Elizabeth Fulford (MANAGER) |
| Authorized Official Contact | 8502422501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Grade Medical Care, Llc 289 Sw Range Ave Suite C Madison FL 32340 Ph: (850) 973-2252 | Bailey Grade Medical Care, Llc 289 Sw Range Ave Suite C Madison FL 32340 Ph: (850) 973-2252 |
| NPI Number | 1356826291 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 9436497146 |
|---|---|
| Medicare Enrollment ID | O20190205000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356826291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Np Fulford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376724542 PECOS PAC ID: 5092950535 Enrollment ID: I20130403000581 |
| Provider Name | Jennifer Poucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255084976 PECOS PAC ID: 7113311184 Enrollment ID: I20220308002828 |
Little Pine Pediatrics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Ne Hancock Ave, Madison, FL 32340 Phone: 850-253-2275 Fax: 850-253-2280 | |
Cardiology And Internal Medicine Group Of North Florida P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 W Base St, Madison, FL 32340 Phone: 850-973-8600 | |
Madison Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Sw Dade St, Suite A, Madison, FL 32340 Phone: 850-385-4494 | |
Madison Osteopathic Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Sw Dade St, Suite, Madison, FL 32340 Phone: 850-253-8000 | |
Madison Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 Ne Hancock Avenue, Madison, FL 32340 Phone: 850-973-4853 Fax: 850-973-8860 | |
Little Pine Pediatrics Of Madison Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 194 Ne Hancock Ave, Madison, FL 32340 Phone: 850-253-2275 |