Diversity Healthcare is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Haines, Florida. The current practice location for Diversity Healthcare is 1011 E Main St, Haines, Florida. For appointments, you can reach them via phone at
(863) 419-4422. The mailing address for Diversity Healthcare is 1011 E Main St, Haines, Florida and phone number is (863) 419-4422.
Diversity Healthcare is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1144907429. 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
(863) 419-4422.
Primary Care Clinic Profile
| Full Name | Diversity Healthcare |
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| Speciality | Clinic/Center |
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| Location | 1011 E Main St, Haines, Florida |
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| Authorized Official Name and Position | Clayton Dale Reedy (OWNER) |
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| Authorized Official Contact | 8634194422 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Diversity Healthcare
1011 E Main St
Haines
FL 33844
Ph: (863) 419-4422 | Diversity Healthcare
1011 E Main St
Haines
FL 33844
Ph: (863) 419-4422 |
NPI Details:
| NPI Number | 1144907429 |
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| Provider Enumeration Date | 06/29/2023 |
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| Last Update Date | 06/20/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5799149860 |
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| Medicare Enrollment ID | O20230908001054 |
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Medical Identifiers
Medical identifiers for Diversity Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144907429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (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.
Diversity Healthcare acts as a billing entity for following providers:
| Provider Name | Clayton Reedy |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1558765479
PECOS PAC ID: 7517281876
Enrollment ID: I20160808002794 |
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