Carbon Health Medical Group Of Florida Pa - Medicare Primary Care in Davie, FL

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Carbon Health Medical Group Of Florida Pa is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Davie, Florida. The current practice location for Carbon Health Medical Group Of Florida Pa is 4825 Sw 148th Ave, Davie, Florida. For appointments, you can reach them via phone at (415) 200-2133. The mailing address for Carbon Health Medical Group Of Florida Pa is 2100 Franklin St Ste 355, Oakland, California and phone number is () -.

Carbon Health Medical Group Of Florida Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1942812763. 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 (415) 200-2133.

Contact Information

Carbon Health Medical Group Of Florida Pa
4825 Sw 148th Ave
Davie
FL 33330-2129
(415) 200-2133
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCarbon Health Medical Group Of Florida Pa
SpecialityClinic/Center
Location4825 Sw 148th Ave, Davie, Florida
Authorized Official Name and PositionKailtin Boyle (DIRECTOR)
Authorized Official Contact3036015392
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carbon Health Medical Group Of Florida Pa
2100 Franklin St Ste 355
Oakland
CA 94612-3140

Ph: () -		Carbon Health Medical Group Of Florida Pa
4825 Sw 148th Ave
Davie
FL 33330-2129

Ph: (415) 200-2133

NPI Details:

NPI Number1942812763
Provider Enumeration Date08/21/2020
Last Update Date07/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3274947304
Medicare Enrollment IDO20210303001671

Medical Identifiers

Medical identifiers for Carbon Health Medical Group Of Florida Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942812763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (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. Carbon Health Medical Group Of Florida Pa acts as a billing entity for following providers:
Provider NameHossein Joukar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700066586
PECOS PAC ID: 8527959766
Enrollment ID: I20040324001335
Provider NameSafia A Ali
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265693238
PECOS PAC ID: 9032270251
Enrollment ID: I20081206000008
Provider NamePatrick Kavanagh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104970417
PECOS PAC ID: 0345381489
Enrollment ID: I20100111000722
Provider NameJonathan A Albert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811027675
PECOS PAC ID: 4082630496
Enrollment ID: I20130529000461
Provider NameMarilyn De Leon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306074604
PECOS PAC ID: 5799919411
Enrollment ID: I20131014000487
Provider NameRoberto Fernandez
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043648736
PECOS PAC ID: 3870819105
Enrollment ID: I20150304002037
Provider NameVanessa Philman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093189300
PECOS PAC ID: 9436452570
Enrollment ID: I20160122000773
Provider NameDonna Heath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659734549
PECOS PAC ID: 7618267287
Enrollment ID: I20160609002533
Provider NameBianca Delaura
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194279265
PECOS PAC ID: 0143504282
Enrollment ID: I20170308002724
Provider NameGrivel J Hera Gomez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508281908
PECOS PAC ID: 7810263688
Enrollment ID: I20171023001101
Provider NameBryan Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295213593
PECOS PAC ID: 4688912140
Enrollment ID: I20190208001734
Provider NameCandice Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457664104
PECOS PAC ID: 0143407650
Enrollment ID: I20190712000700
Provider NameLeslie A Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548752488
PECOS PAC ID: 8325458540
Enrollment ID: I20201029000892
Provider NameShawna Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043553472
PECOS PAC ID: 7810130846
Enrollment ID: I20210310000861
Provider NameKristin Odonnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437678695
PECOS PAC ID: 1355740242
Enrollment ID: I20210526000635
Provider NameCrystal N Hays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891260220
PECOS PAC ID: 3678814944
Enrollment ID: I20210915002529
Provider NameHannah Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851891030
PECOS PAC ID: 9739435900
Enrollment ID: I20210927000853
Provider NameKety Garcia Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922631969
PECOS PAC ID: 6204224355
Enrollment ID: I20211022001644
Provider NameYuliet Corrales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841881646
PECOS PAC ID: 2466842612
Enrollment ID: I20211202002648
Provider NameKimberly C Anderegg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396059606
PECOS PAC ID: 2567658255
Enrollment ID: I20220606002994
Provider NameVicki Jessop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154744852
PECOS PAC ID: 4082844097
Enrollment ID: I20220923002834
Provider NameLuk-olivier Jean-louis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447911003
PECOS PAC ID: 4587030457
Enrollment ID: I20221018000745
Provider NameEmily West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871819664
PECOS PAC ID: 4789715772
Enrollment ID: I20221031002041
Provider NameAudrianna Sparks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245766294
PECOS PAC ID: 1355615626
Enrollment ID: I20221117000219
Provider NameBarbara R Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114058203
PECOS PAC ID: 3870776214
Enrollment ID: I20221213001394
Provider NameRobert D Vichich
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780983569
PECOS PAC ID: 7517117278
Enrollment ID: I20221230000091
Provider NameCatherine S Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184173502
PECOS PAC ID: 4284922832
Enrollment ID: I20230105000536
Provider NameLaureen L Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124496203
PECOS PAC ID: 5193026011
Enrollment ID: I20230109000343
Provider NameAshley Estes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487007951
PECOS PAC ID: 6406187178
Enrollment ID: I20230109003014
Provider NameBlake Hardy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972954469
PECOS PAC ID: 6608246392
Enrollment ID: I20230110000162
Provider NameSarah R Elimelech
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619373826
PECOS PAC ID: 8628372562
Enrollment ID: I20230110001349
Provider NameLaura Alfstad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295149151
PECOS PAC ID: 4284951971
Enrollment ID: I20230110001409
Provider NameRachel Ellen Fruth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992788343
PECOS PAC ID: 2365460862
Enrollment ID: I20230110001667
Provider NameChristine A Worthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851409908
PECOS PAC ID: 2466408869
Enrollment ID: I20230110001711
Provider NameTina Ping
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457634834
PECOS PAC ID: 0840458873
Enrollment ID: I20230110003271
Provider NameLana Marie Basto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164925343
PECOS PAC ID: 8123431251
Enrollment ID: I20230111003032
Provider NameTiffany N Fearon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164846325
PECOS PAC ID: 8426281056
Enrollment ID: I20230111003261
Provider NameChelcie Kaluzny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356816854
PECOS PAC ID: 1951733369
Enrollment ID: I20230113000551
Provider NameGinger Krentz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154573483
PECOS PAC ID: 2264596089
Enrollment ID: I20230113000742
Provider NameIngrid Hoden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376772467
PECOS PAC ID: 1759622400
Enrollment ID: I20230118001845
Provider NameFrank Suppa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700199213
PECOS PAC ID: 5799923199
Enrollment ID: I20230127002806
Provider NameMatthew Stillion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841657798
PECOS PAC ID: 0840620407
Enrollment ID: I20230127002851
Provider NameBrionne Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659816098
PECOS PAC ID: 8426307810
Enrollment ID: I20230128000271
Provider NameMerkessie Redix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922491307
PECOS PAC ID: 4385961440
Enrollment ID: I20230128000289
Provider NameForrest R Estes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992110423
PECOS PAC ID: 1557641727
Enrollment ID: I20230131000085
Provider NameRachael Leneweaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386187284
PECOS PAC ID: 6002199403
Enrollment ID: I20230131000362
Provider NameNicole M Slade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720535453
PECOS PAC ID: 0244510014
Enrollment ID: I20230131000791
Provider NameGilberto Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588159628
PECOS PAC ID: 7911241427
Enrollment ID: I20230131002753
Provider NameSuby Mammen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578041562
PECOS PAC ID: 9931451697
Enrollment ID: I20230131003582
Provider NameFrances T Prado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700120631
PECOS PAC ID: 1658676218
Enrollment ID: I20230202000021
Provider NameCandace G Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295244192
PECOS PAC ID: 1153688031
Enrollment ID: I20230202002871
Provider NameSara C Beadles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649664459
PECOS PAC ID: 4284945205
Enrollment ID: I20230207002463
Provider NameMargarita Lepe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821642836
PECOS PAC ID: 6608244546
Enrollment ID: I20230207003522
Provider NameKaren Mayers-scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033596382
PECOS PAC ID: 8820351448
Enrollment ID: I20230215002366
Provider NameRebecca S Link
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922459429
PECOS PAC ID: 1557657004
Enrollment ID: I20230215002434
Provider NameChristine Walk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336698133
PECOS PAC ID: 5496036535
Enrollment ID: I20230220000883
Provider NameHeidi Hazelton Morrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518921949
PECOS PAC ID: 5698672798
Enrollment ID: I20230306002195
Provider NameRyan Snyder
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720371537
PECOS PAC ID: 2163646829
Enrollment ID: I20230309000944
Provider NameVera Borkowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962885244
PECOS PAC ID: 3173883014
Enrollment ID: I20230329000966
Provider NameSalvatore Mule
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437577855
PECOS PAC ID: 2466761168
Enrollment ID: I20230803002751
Provider NameDenise L Schroedle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386324051
PECOS PAC ID: 8820451164
Enrollment ID: I20230901003489
Provider NameRock Joaky Saint Louis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770194136
PECOS PAC ID: 9133574155
Enrollment ID: I20231011003055
Provider NameShahan Arif
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942610753
PECOS PAC ID: 0648586412
Enrollment ID: I20240328004019

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.