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

Dedicated Ohio Holding Llc is a medicare enrolled primary clinic (Internal Medicine) in Miami, Florida. The current practice location for Dedicated Ohio Holding 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 Ohio Holding Llc is 1395 Nw 167th St, Miami, Florida and phone number is (305) 628-6117.

Dedicated Ohio Holding Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922631019. 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 Ohio Holding Llc
1395 Nw 167th St
Miami
FL 33169-5710
(305) 628-6117
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameDedicated Ohio Holding 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 Ohio Holding Llc
1395 Nw 167th St
Miami
FL 33169-5710

Ph: (305) 628-6117
Dedicated Ohio Holding Llc
1395 Nw 167th St
Miami
FL 33169-5710

Ph: (305) 628-6117

NPI Details:

NPI Number1922631019
Provider Enumeration Date02/17/2020
Last Update Date02/17/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2769718659
Medicare Enrollment IDO20200508000335

Medical Identifiers

Medical identifiers for Dedicated Ohio Holding Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922631019NPI-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 Ohio Holding Llc acts as a billing entity for following providers:
Provider NameAlan C Gatz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588640825
PECOS PAC ID: 4587558762
Enrollment ID: I20040210000040
Provider NameLawrence M Porter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689603995
PECOS PAC ID: 2769396365
Enrollment ID: I20040618000022
Provider NameMargaret M Bigg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609978667
PECOS PAC ID: 1052399938
Enrollment ID: I20040708000355
Provider NameTessy Meridores
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194991620
PECOS PAC ID: 9739169814
Enrollment ID: I20040720001625
Provider NameAnisha Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881718989
PECOS PAC ID: 5890775514
Enrollment ID: I20040722001404
Provider NameJoy Margaret Marshall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285722017
PECOS PAC ID: 4880645381
Enrollment ID: I20050202000189
Provider NameRobert S Coleman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992781504
PECOS PAC ID: 2860447141
Enrollment ID: I20050318000921
Provider NameJennifer Casey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417040155
PECOS PAC ID: 7315951928
Enrollment ID: I20060203000078
Provider NameJonathan H Wynbrandt
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1891807012
PECOS PAC ID: 9032117718
Enrollment ID: I20061113000043
Provider NameAngela M Bennett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861495236
PECOS PAC ID: 7719080225
Enrollment ID: I20070321000060
Provider NameJohn K Whalen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750343224
PECOS PAC ID: 9931100161
Enrollment ID: I20070426000352
Provider NameSergio L Mezcua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477621258
PECOS PAC ID: 7810053592
Enrollment ID: I20090304000493
Provider NameManeesh Lal Mehra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417136805
PECOS PAC ID: 9234268566
Enrollment ID: I20100525001042
Provider NameDori R Thompson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922012160
PECOS PAC ID: 3476683632
Enrollment ID: I20100615000008
Provider NameStacey M Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043542673
PECOS PAC ID: 3072759398
Enrollment ID: I20130411000195
Provider NameLynn A Gronbach
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033418454
PECOS PAC ID: 5395961965
Enrollment ID: I20140717001696
Provider NameAdam D Rhodes
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1134411069
PECOS PAC ID: 4587881974
Enrollment ID: I20140807002591
Provider NameSharon Walker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154614733
PECOS PAC ID: 9931328267
Enrollment ID: I20140917003136
Provider NameAndrea Louise Melton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306164553
PECOS PAC ID: 6608096466
Enrollment ID: I20140930001944
Provider NameStacy Swati Banerjee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871709964
PECOS PAC ID: 5890821516
Enrollment ID: I20150608001347
Provider NameVadhya Elivert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649531997
PECOS PAC ID: 6204129828
Enrollment ID: I20160720000228
Provider NameRandall Thomas Curnow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922085679
PECOS PAC ID: 8628969441
Enrollment ID: I20161215002321
Provider NameNabila Babar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093817272
PECOS PAC ID: 2567445737
Enrollment ID: I20170607001083
Provider NameJason Adam Gregorin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972982726
PECOS PAC ID: 3678877073
Enrollment ID: I20180122001806
Provider NameKimberly M Peacock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235541665
PECOS PAC ID: 7012206329
Enrollment ID: I20180607001603
Provider NameBradley B Backoff
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1255710596
PECOS PAC ID: 8527314319
Enrollment ID: I20180710000685
Provider NameMichael Stuhler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578031704
PECOS PAC ID: 2668718362
Enrollment ID: I20190117001725
Provider NameMichael Coffey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689664120
PECOS PAC ID: 7911917315
Enrollment ID: I20200707001598
Provider NameJames Harrington
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265503635
PECOS PAC ID: 0941190888
Enrollment ID: I20200707002218
Provider NameHoang Phung
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467989210
PECOS PAC ID: 8325390552
Enrollment ID: I20200714000774
Provider NameStawa Blanco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073126314
PECOS PAC ID: 2062839350
Enrollment ID: I20200901002566
Provider NameLisa A Robinette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710505110
PECOS PAC ID: 9234557075
Enrollment ID: I20200910003236
Provider NameMarissel Velazquez Vicente
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396931275
PECOS PAC ID: 8123383494
Enrollment ID: I20200916000276
Provider NameMatthew Novin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972958072
PECOS PAC ID: 3375877749
Enrollment ID: I20201016000325
Provider NameTeresa A Whitaker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124522693
PECOS PAC ID: 7517214273
Enrollment ID: I20210525003441
Provider NameKayla L Scheuer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134416191
PECOS PAC ID: 0244574499
Enrollment ID: I20210723003341
Provider NameAlexander Brewer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1588903058
PECOS PAC ID: 9931326204
Enrollment ID: I20220103000305
Provider NameAllison Reinarz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780240085
PECOS PAC ID: 6507192911
Enrollment ID: I20220720001389
Provider NameFabian Rodriguez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801855192
PECOS PAC ID: 3274606017
Enrollment ID: I20220728003015
Provider NameCody Stayden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144943457
PECOS PAC ID: 1557737178
Enrollment ID: I20221021001245
Provider NameStefanny Santana Rivera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104446020
PECOS PAC ID: 5597122580
Enrollment ID: I20230607000394
Provider NameDanielle Bullock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598394603
PECOS PAC ID: 9931522984
Enrollment ID: I20230918001892
Provider NameLaura Jarrell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407033996
PECOS PAC ID: 3375682057
Enrollment ID: I20231111000634

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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.