Dedicated Senior Medical Center - Medicare Primary Care in Miami Gardens, FL

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

Dedicated Senior Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1558019455. 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 Senior Medical Center
1395 Nw 167th St
Miami Gardens
FL 33169-5710
(305) 628-6117
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameDedicated Senior Medical Center
SpecialityInternal Medicine
Location1395 Nw 167th St, Miami Gardens, Florida
Authorized Official Name and PositionMary Chen (AUTHORIZED OFFICIAL)
Authorized Official Contact3058314722
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dedicated Senior Medical Center
1395 Nw 167th St
Miami Gardens
FL 33169-5710

Ph: (305) 628-6117		Dedicated Senior Medical Center
1395 Nw 167th St
Miami Gardens
FL 33169-5710

Ph: (305) 628-6117

NPI Details:

NPI Number1558019455
Provider Enumeration Date03/10/2022
Last Update Date10/31/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9537546239
Medicare Enrollment IDO20220518002987

Medical Identifiers

Medical identifiers for Dedicated Senior Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558019455NPI-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 Senior Medical Center acts as a billing entity for following providers:
Provider NameCammie Jo Fulp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558364828
PECOS PAC ID: 3971581380
Enrollment ID: I20040712001166
Provider NameMeera Kelley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790968444
PECOS PAC ID: 1850340613
Enrollment ID: I20050119000398
Provider NameKevin E Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336138809
PECOS PAC ID: 0143249110
Enrollment ID: I20060727000092
Provider NameDamaris Mcclain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699007625
PECOS PAC ID: 0143281626
Enrollment ID: I20110322000691
Provider NameEdgardo G Maldonado
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346279981
PECOS PAC ID: 6507846532
Enrollment ID: I20131104000062
Provider NameDeneda T Daye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033455191
PECOS PAC ID: 1254558695
Enrollment ID: I20140808001410
Provider NameAmanda Valerie Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972889749
PECOS PAC ID: 4789930348
Enrollment ID: I20180712000384
Provider NameAndrew W King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932588803
PECOS PAC ID: 4587953153
Enrollment ID: I20181004001887
Provider NameSherrika Walton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982138004
PECOS PAC ID: 7810322252
Enrollment ID: I20200114000461
Provider NameMehul Hemant Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700834058
PECOS PAC ID: 0244461788
Enrollment ID: I20200205001420
Provider NameChris C Que
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669432043
PECOS PAC ID: 5496846248
Enrollment ID: I20210729004065
Provider NameLakeshia Antoinette Entzminger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215215934
PECOS PAC ID: 8426296047
Enrollment ID: I20220513001137
Provider NameAmit K Chatterjee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417983289
PECOS PAC ID: 2264445212
Enrollment ID: I20220518003007
Provider NameJennifer Udom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942790373
PECOS PAC ID: 6800147232
Enrollment ID: I20220603000349
Provider NameLatoya Fulton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598031122
PECOS PAC ID: 4183991110
Enrollment ID: I20220608000345
Provider NameCynthia Paige
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811900608
PECOS PAC ID: 2466633581
Enrollment ID: I20220608001906
Provider NameHaresh Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528267770
PECOS PAC ID: 5193879815
Enrollment ID: I20220727002164
Provider NameDeanna Delaine King
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568923787
PECOS PAC ID: 9436486966
Enrollment ID: I20220816000913
Provider NameEstefany Sanchez Mendez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245615442
PECOS PAC ID: 0042689002
Enrollment ID: I20221214000071
Provider NameLevonne Mitchell Samon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770542813
PECOS PAC ID: 9032176276
Enrollment ID: I20230214001673
Provider NameJorge Merino Herrera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306332739
PECOS PAC ID: 1052715588
Enrollment ID: I20231010000787
Provider NameConsuelo Feliz Mendez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356726947
PECOS PAC ID: 9931446895
Enrollment ID: I20231027000313

Reviews and Comments


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Phone: 754-465-3003    Fax: 866-552-0934
Spetro And Associates Corp
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Practice Location: 99 Nw 183rd St, Miami Gardens, FL 33169
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Practice Location: 18425 Nw 2nd Ave 5th Floor Ph 7, Miami Gardens, FL 33169
Phone: 800-434-1366    

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.