Deerfield Beach Physician Services, Llc - Medicare Primary Care in Tallahassee, FL

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Deerfield Beach Physician Services, Llc is a medicare enrolled primary clinic (Internal Medicine) in Tallahassee, Florida. The current practice location for Deerfield Beach Physician Services, Llc is 2626 Capital Medical Blvd, Tallahassee, Florida. For appointments, you can reach them via phone at (850) 325-5000. The mailing address for Deerfield Beach Physician Services, Llc is 200 Corporate Blvd, Lafayette, Louisiana and phone number is (800) 893-9698.

Deerfield Beach Physician Services, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366100364. 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 (850) 325-5000.

Contact Information

Deerfield Beach Physician Services, Llc
2626 Capital Medical Blvd
Tallahassee
FL 32308-4402
(850) 325-5000
(850) 656-5198

Map and Direction


Primary Care Clinic Profile

Full NameDeerfield Beach Physician Services, Llc
SpecialityInternal Medicine
Location2626 Capital Medical Blvd, Tallahassee, Florida
Authorized Official Name and PositionLisha C Falk (VP OF CONTRACTING)
Authorized Official Contact3376091221
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deerfield Beach Physician Services, Llc
200 Corporate Blvd
Lafayette
LA 70508-3870

Ph: (800) 893-9698		Deerfield Beach Physician Services, Llc
2626 Capital Medical Blvd
Tallahassee
FL 32308-4402

Ph: (850) 325-5000

NPI Details:

NPI Number1366100364
Provider Enumeration Date12/07/2021
Last Update Date09/27/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3274928270
Medicare Enrollment IDO20220520002459

Medical Identifiers

Medical identifiers for Deerfield Beach Physician Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366100364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
208M00000XHospitalist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Deerfield Beach Physician Services, Llc acts as a billing entity for following providers:
Provider NameIftikhar Ahmed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063552396
PECOS PAC ID: 0749183887
Enrollment ID: I20040128000298
Provider NameKetty Maurice
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053368043
PECOS PAC ID: 0446143382
Enrollment ID: I20040205000130
Provider NameKiran Narvin Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255334959
PECOS PAC ID: 9133010457
Enrollment ID: I20040324000506
Provider NameDiego T Yangco
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619953007
PECOS PAC ID: 0840287348
Enrollment ID: I20040427001250
Provider NameNighat S Ahmed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083766687
PECOS PAC ID: 7012924442
Enrollment ID: I20060309000611
Provider NameMadelaine Vilme
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841391729
PECOS PAC ID: 1355340290
Enrollment ID: I20061204000345
Provider NameRichard R Thacker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114920261
PECOS PAC ID: 9638271471
Enrollment ID: I20070224000141
Provider NameFarzana A Khan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902922727
PECOS PAC ID: 5597843797
Enrollment ID: I20080429000163
Provider NameMoses N Izuegbu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205057932
PECOS PAC ID: 0446392179
Enrollment ID: I20100119000552
Provider NameLinda L Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083856256
PECOS PAC ID: 3072645928
Enrollment ID: I20100713000515
Provider NameSimon Jesus Kassis Hadid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548410590
PECOS PAC ID: 5193917136
Enrollment ID: I20101008000105
Provider NameSuma S Dondapati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336370428
PECOS PAC ID: 6608059084
Enrollment ID: I20110322000846
Provider NameAaron Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093973786
PECOS PAC ID: 7719163211
Enrollment ID: I20110518000309
Provider NameMarino A Martinez Vargas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750680856
PECOS PAC ID: 4183893720
Enrollment ID: I20110816000357
Provider NameYawen Ping
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467734681
PECOS PAC ID: 2466623236
Enrollment ID: I20110928000024
Provider NameBethsaida Jean Gillum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902189376
PECOS PAC ID: 0143492439
Enrollment ID: I20111010000511
Provider NameWayne Sampson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306897582
PECOS PAC ID: 2163695388
Enrollment ID: I20111103000882
Provider NameOmar Khashaba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942467576
PECOS PAC ID: 5294996492
Enrollment ID: I20120416000463
Provider NameWilliam F Geers
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992828461
PECOS PAC ID: 5496848004
Enrollment ID: I20120622000262
Provider NameChristina Miki Araya Osorio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710188453
PECOS PAC ID: 0143372144
Enrollment ID: I20120813000093
Provider NameNathalie J Narcisse
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1255309001
PECOS PAC ID: 0749258788
Enrollment ID: I20120924000250
Provider NameThomas F King
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912955733
PECOS PAC ID: 1254405558
Enrollment ID: I20130307000188
Provider NameNimae N Awantang
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1124156468
PECOS PAC ID: 6002052909
Enrollment ID: I20130419000401
Provider NameNicola S Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477963833
PECOS PAC ID: 8224253919
Enrollment ID: I20140714002106
Provider NameJoseph N Rawls
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518385913
PECOS PAC ID: 6103042767
Enrollment ID: I20140717001360
Provider NameTanesh Sadarangani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992955488
PECOS PAC ID: 4789841248
Enrollment ID: I20140806001999
Provider NameAnthony Roosevelt Washington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093002768
PECOS PAC ID: 7517186695
Enrollment ID: I20140923000998
Provider NameMuhammad A Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669621215
PECOS PAC ID: 7517003932
Enrollment ID: I20140926000673
Provider NameGary Fischer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053427690
PECOS PAC ID: 6103846282
Enrollment ID: I20150305001601
Provider NameAllison Moore
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225463649
PECOS PAC ID: 9234440884
Enrollment ID: I20150623001952
Provider NameBenise Artus Gutierrez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265827430
PECOS PAC ID: 4183936461
Enrollment ID: I20150629002084
Provider NameAlysha Lynn Bredemus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104187194
PECOS PAC ID: 6103134663
Enrollment ID: I20151001003148
Provider NameAbby Brockelbank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043694656
PECOS PAC ID: 0345541447
Enrollment ID: I20151215000734
Provider NameMike M Supplice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689000101
PECOS PAC ID: 9830493949
Enrollment ID: I20160210002299
Provider NameChristine Kathy Noel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750787057
PECOS PAC ID: 6204085392
Enrollment ID: I20160318000665
Provider NameNadia Parchment
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295056430
PECOS PAC ID: 3678793130
Enrollment ID: I20160406001439
Provider NameMary E Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770038093
PECOS PAC ID: 2769761592
Enrollment ID: I20161117001716
Provider NameRomainda Lubin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013468362
PECOS PAC ID: 2466732904
Enrollment ID: I20161129002062
Provider NameSamuel Saad Elias-ausi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639432156
PECOS PAC ID: 5092031377
Enrollment ID: I20170426000514
Provider NameCindy Yuen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902230477
PECOS PAC ID: 0345510061
Enrollment ID: I20170727002925
Provider NameSalil T Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467853929
PECOS PAC ID: 5799005781
Enrollment ID: I20170817004033
Provider NameSamantha Jean
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023438512
PECOS PAC ID: 1153543160
Enrollment ID: I20170823001067
Provider NameSebastian Puig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295154706
PECOS PAC ID: 1254552292
Enrollment ID: I20171108002406
Provider NameAmin Elfituri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568898732
PECOS PAC ID: 5597984039
Enrollment ID: I20180413000862
Provider NameWael Sankar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1477940260
PECOS PAC ID: 8527314806
Enrollment ID: I20180628000754
Provider NameClorinda Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861980724
PECOS PAC ID: 5395095558
Enrollment ID: I20180910000758
Provider NameKimberly Danielle Abdelkader
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609262062
PECOS PAC ID: 3678823887
Enrollment ID: I20180910002542
Provider NameTolulope Mathias Olasunkanmi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558500447
PECOS PAC ID: 7012054695
Enrollment ID: I20181212001832
Provider NameGerdie Jean-smith
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1346669025
PECOS PAC ID: 0143535369
Enrollment ID: I20190218002663
Provider NameAdeyinka O Akinbami
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417469941
PECOS PAC ID: 2860757564
Enrollment ID: I20200115002425
Provider NamePranav Ravi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881076040
PECOS PAC ID: 0446597694
Enrollment ID: I20200611002165
Provider NameCharlton E Collie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992123426
PECOS PAC ID: 6305061375
Enrollment ID: I20200924000877
Provider NameDejon J Maloney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518499235
PECOS PAC ID: 3072889864
Enrollment ID: I20200929002544
Provider NameBilal Sadiq
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225529894
PECOS PAC ID: 8527315233
Enrollment ID: I20210812003912
Provider NameAlena Varantsova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033615208
PECOS PAC ID: 3678979093
Enrollment ID: I20210910001326
Provider NameAllison Lee Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366104713
PECOS PAC ID: 2860899010
Enrollment ID: I20210930001888
Provider NameNadine Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932761764
PECOS PAC ID: 5799011102
Enrollment ID: I20211027002419
Provider NameMarlene Lorente Jimenez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598330938
PECOS PAC ID: 6305235094
Enrollment ID: I20211118001762
Provider NameKhuzema Mohsin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326535998
PECOS PAC ID: 7012344724
Enrollment ID: I20220317002630
Provider NamePrashant Baliga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013114305
PECOS PAC ID: 9335336072
Enrollment ID: I20220329002471
Provider NameNesreen Zakariya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659045318
PECOS PAC ID: 5092101337
Enrollment ID: I20220413001078
Provider NameKristopher Rai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932588449
PECOS PAC ID: 0840593547
Enrollment ID: I20220504000384
Provider NameOleksandr Kozlov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801458435
PECOS PAC ID: 0446588123
Enrollment ID: I20220922002371
Provider NameVasuki Tikkiwal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023670833
PECOS PAC ID: 9739565987
Enrollment ID: I20220926002928
Provider NameUmmair Aman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215592936
PECOS PAC ID: 9133505407
Enrollment ID: I20221011000365
Provider NameSvitlana Shapovalova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255829321
PECOS PAC ID: 3971909417
Enrollment ID: I20221012001333
Provider NameSankeerth Takkellapati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659936177
PECOS PAC ID: 8628444676
Enrollment ID: I20221018000037
Provider NameHamzah Abdullah M Qudah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609466556
PECOS PAC ID: 1355717869
Enrollment ID: I20221024001935
Provider NameJonathan Patricio Vivar Acosta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073174314
PECOS PAC ID: 2163890096
Enrollment ID: I20221123002115
Provider NameJuan Torres
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164080909
PECOS PAC ID: 9931437217
Enrollment ID: I20221229001957
Provider NameGenevieve Sarmiento
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255058616
PECOS PAC ID: 6507239191
Enrollment ID: I20230301002359
Provider NameJason Doss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922705524
PECOS PAC ID: 8729448436
Enrollment ID: I20230713000228
Provider NameMandeep Kaur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750802930
PECOS PAC ID: 1456698836
Enrollment ID: I20240103004528
Provider NameAndalib Hossain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063073492
PECOS PAC ID: 9335477355
Enrollment ID: I20240116000652
Provider NameAyla Benge
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538789433
PECOS PAC ID: 7618374778
Enrollment ID: I20240118000146

Reviews and Comments


Internal Medicine in Tallahassee, FL

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Tallahassee Memorial Healthcare Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
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Phone: 850-431-3867    Fax: 850-431-3879
Transition Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Capital Oaks Dr, Tallahassee, FL 32308
Phone: 850-431-4470    Fax: 850-431-4471

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.