Dedicated Columbus Ohio, Llc - Medicare Primary Care in Miami, FL

Dedicated Columbus Ohio, Llc is a medicare enrolled primary clinic (Internal Medicine) in Miami, Florida. The current practice location for Dedicated Columbus Ohio, Llc is 1395 Nw 167th St, Miami, Florida. For appointments, you can reach them via phone at (305) 628-6117. The mailing address for Dedicated Columbus Ohio, Llc is 1395 Nw 167th St, Miami, Florida and phone number is () -.

Dedicated Columbus Ohio, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538798483. 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 (305) 628-6117.

Contact Information

Dedicated Columbus Ohio, Llc
1395 Nw 167th St
Miami
FL 33169-5710
(305) 628-6117
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameDedicated Columbus Ohio, Llc
SpecialityInternal Medicine
Location1395 Nw 167th St, Miami, Florida
Authorized Official Name and PositionMary Chen (OWNER)
Authorized Official Contact3056286117
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dedicated Columbus Ohio, Llc
1395 Nw 167th St
Miami
FL 33169-5710

Ph: () -
Dedicated Columbus Ohio, Llc
1395 Nw 167th St
Miami
FL 33169-5710

Ph: (305) 628-6117

NPI Details:

NPI Number1538798483
Provider Enumeration Date04/03/2020
Last Update Date04/03/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9032445929
Medicare Enrollment IDO20190730004345

Medical Identifiers

Medical identifiers for Dedicated Columbus Ohio, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538798483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (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. Dedicated Columbus Ohio, Llc acts as a billing entity for following providers:
Provider NameRosalie Ann Kuriakose
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699702571
PECOS PAC ID: 2961398300
Enrollment ID: I20040224000429
Provider NameSharrie A Ray
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689751372
PECOS PAC ID: 1153368931
Enrollment ID: I20050413000499
Provider NameAriel Silva
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346296472
PECOS PAC ID: 1052359692
Enrollment ID: I20050504000018
Provider NameDeborah Lynn Wilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235218637
PECOS PAC ID: 5395786552
Enrollment ID: I20050524000210
Provider NameJames Lawrence Canterbury
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1881709905
PECOS PAC ID: 4385661792
Enrollment ID: I20051025000823
Provider NameAmit K Chatterjee
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1417983289
PECOS PAC ID: 2264445212
Enrollment ID: I20060718000006
Provider NameLaurel E Marques
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508864604
PECOS PAC ID: 4486672623
Enrollment ID: I20060823000493
Provider NameBrian L Bachelder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356439228
PECOS PAC ID: 2163418617
Enrollment ID: I20071008000308
Provider NameH Steven Meliotes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194883165
PECOS PAC ID: 3678620556
Enrollment ID: I20090410000024
Provider NameJyothi Puram
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699879189
PECOS PAC ID: 0244380707
Enrollment ID: I20090604000327
Provider NameSumit Sharma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306047154
PECOS PAC ID: 7911079595
Enrollment ID: I20100426000421
Provider NameMishelle L Mowry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831445329
PECOS PAC ID: 8729235403
Enrollment ID: I20120831000337
Provider NameLori Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548672637
PECOS PAC ID: 8426274614
Enrollment ID: I20140724000527
Provider NameKaren L Staats
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588055644
PECOS PAC ID: 9436475738
Enrollment ID: I20150304001115
Provider NameMeagan Elise Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457632408
PECOS PAC ID: 0749565760
Enrollment ID: I20170314000299
Provider NameDurga Reddy Jonnalagadda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336550078
PECOS PAC ID: 4688961303
Enrollment ID: I20170814001913
Provider NameGloria Sefa Boateng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528578804
PECOS PAC ID: 6800162546
Enrollment ID: I20171024001670
Provider NameMerit Israel Rutland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912429770
PECOS PAC ID: 2769741719
Enrollment ID: I20180119000870
Provider NameJay G Ingram
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679968788
PECOS PAC ID: 2860700267
Enrollment ID: I20180821000856
Provider NameRasha Elhag
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1821475054
PECOS PAC ID: 6709181969
Enrollment ID: I20181220002881
Provider NameElizabeth Repeta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639642416
PECOS PAC ID: 0547509192
Enrollment ID: I20190227000518
Provider NameSusan Schayes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720183254
PECOS PAC ID: 5698806701
Enrollment ID: I20190826002243
Provider NameBhadreshkumar H Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477033389
PECOS PAC ID: 7517390933
Enrollment ID: I20191125002629
Provider NamePatrick S Callender
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922006675
PECOS PAC ID: 1153652201
Enrollment ID: I20200422001023
Provider NameRyan Brinn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265963292
PECOS PAC ID: 5092084806
Enrollment ID: I20200504000476
Provider NameNishant Rohit Dagli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194173864
PECOS PAC ID: 8325332968
Enrollment ID: I20200930001731
Provider NameJane Koroma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477905461
PECOS PAC ID: 3577983782
Enrollment ID: I20201008002671
Provider NameEmily A Carey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720315625
PECOS PAC ID: 2961816087
Enrollment ID: I20210202000928
Provider NameTanner William Boes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013351477
PECOS PAC ID: 5496981391
Enrollment ID: I20210319001588
Provider NameSophia A Khawly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144573056
PECOS PAC ID: 5698913754
Enrollment ID: I20210723001283
Provider NameAlexandra A Sutula
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568968188
PECOS PAC ID: 3173873940
Enrollment ID: I20210825002101
Provider NameJill D Clay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306883582
PECOS PAC ID: 8022049741
Enrollment ID: I20220129000093
Provider NameKalpana Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265608004
PECOS PAC ID: 4981778073
Enrollment ID: I20220406002781
Provider NameErin P Carter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114421559
PECOS PAC ID: 2961759626
Enrollment ID: I20220426000816
Provider NameAngel Renee Primm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225598295
PECOS PAC ID: 1658605654
Enrollment ID: I20220523002539
Provider NameBrenna Reed
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1376106997
PECOS PAC ID: 3678800620
Enrollment ID: I20220701002761
Provider NameEdgardo G Maldonado
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346279981
PECOS PAC ID: 6507846532
Enrollment ID: I20220824000742
Provider NameElizabeth Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346976651
PECOS PAC ID: 0547636011
Enrollment ID: I20221025001816
Provider NameColin Good
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053816959
PECOS PAC ID: 8921418203
Enrollment ID: I20231128002216

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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.