Crystal River Hma Physician Management Llc | |
5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 | |
(352) 794-3872 | |
(352) 794-3876 |
Full Name | Crystal River Hma Physician Management Llc |
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Speciality | Family Medicine |
Location | 5915 W Gulf To Lake Hwy, Crystal River, Florida |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR ONBOARDING & PROV ENROLLMENT) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crystal River Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Crystal River Hma Physician Management Llc 5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 Ph: (352) 794-3872 |
NPI Number | 1447799945 |
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Provider Enumeration Date | 02/16/2017 |
Last Update Date | 03/14/2022 |
Medicare PECOS PAC ID | 0244508596 |
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Medicare Enrollment ID | O20170610000060 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447799945 | NPI | - | NPPES |
Provider Name | Magdy N Falestiny |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1942421581 PECOS PAC ID: 8527954122 Enrollment ID: I20040223000147 |
Provider Name | Rose M Sobel |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295780104 PECOS PAC ID: 1951384510 Enrollment ID: I20040617000155 |
Provider Name | Berc C Sarafian |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1891741708 PECOS PAC ID: 1254310295 Enrollment ID: I20040715000323 |
Provider Name | Jennifer R Gilby |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336137819 PECOS PAC ID: 8628016920 Enrollment ID: I20050418001166 |
Provider Name | Johnnie R Degraw |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992736672 PECOS PAC ID: 7113822941 Enrollment ID: I20060213000269 |
Provider Name | Ghassan A Hasan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366413320 PECOS PAC ID: 9032121173 Enrollment ID: I20060608000071 |
Provider Name | Steven Marc Capps |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932215662 PECOS PAC ID: 0446445795 Enrollment ID: I20101111000990 |
Provider Name | Margie M Leturno |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124384813 PECOS PAC ID: 7911143318 Enrollment ID: I20130409000201 |
Provider Name | Preeti Lekhra |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1194052266 PECOS PAC ID: 0143414425 Enrollment ID: I20130607000218 |
Provider Name | Weichi Liao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811141583 PECOS PAC ID: 6901072479 Enrollment ID: I20131121001492 |
Provider Name | Judith Elibri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376928176 PECOS PAC ID: 2163739392 Enrollment ID: I20150921000277 |
Provider Name | Michael Baehr |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992771869 PECOS PAC ID: 8820089972 Enrollment ID: I20151006002846 |
Provider Name | Ann M Lundy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588021497 PECOS PAC ID: 8527363266 Enrollment ID: I20160218000471 |
Provider Name | Yoslay Perez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427391069 PECOS PAC ID: 6406152339 Enrollment ID: I20160302002376 |
Provider Name | Parth U Patel |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669762365 PECOS PAC ID: 9931467321 Enrollment ID: I20171212001844 |
Provider Name | Joseph Ralph Paonessa |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1720341696 PECOS PAC ID: 5092061291 Enrollment ID: I20190129003694 |
Provider Name | Alaaeldin A Soliman |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1053346866 PECOS PAC ID: 6608863451 Enrollment ID: I20190819001705 |
Provider Name | Asma Iftikhar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427344761 PECOS PAC ID: 2163664715 Enrollment ID: I20190822004083 |
Provider Name | Ashish Ramesh Thakkar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538456124 PECOS PAC ID: 3274758263 Enrollment ID: I20190917003539 |
Provider Name | Trustin Roy Ennacheril |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1043274509 PECOS PAC ID: 4981798840 Enrollment ID: I20190918002153 |
Provider Name | Eyad M Abu-hamda |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1619961638 PECOS PAC ID: 1658369558 Enrollment ID: I20200402002773 |
Provider Name | Teresa Rdn Amroei |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1093304800 PECOS PAC ID: 6800242462 Enrollment ID: I20231102001606 |
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