| Crestview Immediate Care Llc | |
|
4100 S Ferdon Blvd Ste A3 Crestview FL 32536-5287 | |
| (850) 758-7791 | |
| Not Available |
| Full Name | Crestview Immediate Care Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4100 S Ferdon Blvd Ste A3, Crestview, Florida |
| Authorized Official Name and Position | Aliason Heather Martin-overton (OWNER) |
| Authorized Official Contact | 8506346345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Immediate Care Llc 4100 S Ferdon Blvd Ste A3 Crestview FL 32536-5287 Ph: (850) 634-6345 | Crestview Immediate Care Llc 4100 S Ferdon Blvd Ste A3 Crestview FL 32536-5287 Ph: (850) 758-7791 |
| NPI Number | 1073134730 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 8123446200 |
|---|---|
| Medicare Enrollment ID | O20200922002661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073134730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Aliason Heather Martin-overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396829990 PECOS PAC ID: 5799879557 Enrollment ID: I20090226000014 |
| Provider Name | Rebecca J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962485474 PECOS PAC ID: 4082611058 Enrollment ID: I20140228000360 |
| Provider Name | Patricia Breeden Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184935389 PECOS PAC ID: 6608992037 Enrollment ID: I20201002000255 |
Marcene F. Kreifels, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1198 S Ferdon Blvd, Crestview, FL 32536 Phone: 850-682-1735 Fax: 850-689-4400 | |
Michael P Roberts Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 N Main St, Crestview, FL 32536 Phone: 850-398-6963 Fax: 850-398-8277 | |
Belfiore Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 E Hickory Ave, Crestview, FL 32536 Phone: 850-683-1100 Fax: 850-683-0599 | |
North Okaloosa Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 N Ferdon Blvd, Crestview, FL 32536 Phone: 850-398-8725 Fax: 850-398-8727 | |
Advanced Family Medicine Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Medcrest Drive, Unit A, Crestview, FL 32536 Phone: 850-423-0761 Fax: 855-793-3568 | |
Crestview Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Crestview, FL 32539 Phone: 850-682-1164 Fax: 850-682-5302 |