| Chipola Medical Associates, Llc | |
|
4215 - E Kelson Ave Marianna FL 32446 | |
| (850) 526-3434 | |
| (850) 526-3434 |
| Full Name | Chipola Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4215 - E Kelson Ave, Marianna, Florida |
| Authorized Official Name and Position | Joe H. Gay (MANAGING MEMBER) |
| Authorized Official Contact | 8505263434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chipola Medical Associates, Llc 4215 - E Kelson Ave Marianna FL 32446 Ph: (850) 526-3434 | Chipola Medical Associates, Llc 4215 - E Kelson Ave Marianna FL 32446 Ph: (850) 526-3434 |
| NPI Number | 1346778263 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 2264708031 |
|---|---|
| Medicare Enrollment ID | O20171023001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346778263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Virginia Seay Fleener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871633156 PECOS PAC ID: 7719887603 Enrollment ID: I20040108000938 |
| Provider Name | Jirayos Chintanadilok |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073516274 PECOS PAC ID: 8426046087 Enrollment ID: I20040517000163 |
| Provider Name | Susan M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174663421 PECOS PAC ID: 7911966833 Enrollment ID: I20041006001268 |
| Provider Name | Heather Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790925816 PECOS PAC ID: 7012055270 Enrollment ID: I20091109000130 |
| Provider Name | Joe H Gay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548243728 PECOS PAC ID: 5799744611 Enrollment ID: I20100324000940 |
| Provider Name | Julie A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568502805 PECOS PAC ID: 5597897330 Enrollment ID: I20100714000881 |
| Provider Name | Duane Herring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881746527 PECOS PAC ID: 5698808632 Enrollment ID: I20100728000646 |
| Provider Name | Kate Frances Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295008001 PECOS PAC ID: 8820259963 Enrollment ID: I20120417000165 |
| Provider Name | Megan C Milton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356681050 PECOS PAC ID: 7911143953 Enrollment ID: I20130418000342 |
| Provider Name | John Ellerbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912372756 PECOS PAC ID: 7315243235 Enrollment ID: I20160302002038 |
| Provider Name | Brittany G Mccroan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598326332 PECOS PAC ID: 8628306610 Enrollment ID: I20190829001373 |
| Provider Name | Anna Kaitlyn Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801464789 PECOS PAC ID: 8628473220 Enrollment ID: I20210819002568 |
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Chipola Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Hospital Dr, Suite 210, Marianna, FL 32446 Phone: 850-526-3434 Fax: 850-526-7743 | |
Caremed Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4719 Highway 90, Marianna, FL 32446 Phone: 850-526-3314 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4318 5th Ave, Marianna, FL 32446 Phone: 850-526-5300 | |
North Florida Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2916 Madison St, Marianna, FL 32446 Phone: 850-372-4441 Fax: 850-372-4443 |