Evernorth Care Providers - Tennessee Pc - Medicare Primary Care in Orlando, FL

Evernorth Care Providers - Tennessee Pc is a medicare enrolled primary clinic (General Practice) in Orlando, Florida. The current practice location for Evernorth Care Providers - Tennessee Pc is 4700 Millenia Blvd Ste 5005th, Orlando, Florida. For appointments, you can reach them via phone at (773) 292-4800. The mailing address for Evernorth Care Providers - Tennessee Pc is 730 Cool Springs Blvd Ste 500, Franklin, Tennessee and phone number is (773) 292-4800.

Evernorth Care Providers - Tennessee Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316726730. 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 (773) 292-4800.

Contact Information

Evernorth Care Providers - Tennessee Pc
4700 Millenia Blvd Ste 5005th
Orlando
FL 32839-6013
(773) 292-4800
(312) 564-4059

Map and Direction


Primary Care Clinic Profile

Full NameEvernorth Care Providers - Tennessee Pc
SpecialityGeneral Practice
Location4700 Millenia Blvd Ste 5005th, Orlando, Florida
Authorized Official Name and PositionGrace V Blue (CREDENTIALING SR. MANAGER)
Authorized Official Contact7732924800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evernorth Care Providers - Tennessee Pc
730 Cool Springs Blvd Ste 500
Franklin
TN 37067-7331

Ph: (773) 292-4800
Evernorth Care Providers - Tennessee Pc
4700 Millenia Blvd Ste 5005th
Orlando
FL 32839-6013

Ph: (773) 292-4800

NPI Details:

NPI Number1316726730
Provider Enumeration Date09/25/2023
Last Update Date02/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7911355532
Medicare Enrollment IDO20231121000124

Medical Identifiers

Medical identifiers for Evernorth Care Providers - Tennessee Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316726730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. Evernorth Care Providers - Tennessee Pc acts as a billing entity for following providers:
Provider NameVirginia R Lemoyne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699905240
PECOS PAC ID: 7618014705
Enrollment ID: I20091021000844
Provider NameHolly Trinque
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881750487
PECOS PAC ID: 8123217460
Enrollment ID: I20110118000884
Provider NameAshley Wambolt Mccormick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811328099
PECOS PAC ID: 8123257334
Enrollment ID: I20140211001293
Provider NameSarah E Goodman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417203845
PECOS PAC ID: 6800028424
Enrollment ID: I20140415000392
Provider NameNorah Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932466372
PECOS PAC ID: 8628220662
Enrollment ID: I20151028000012
Provider NameKari K O'neal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255887626
PECOS PAC ID: 8123306982
Enrollment ID: I20170202002360
Provider NameBrianne Jane Freel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134630197
PECOS PAC ID: 8628328606
Enrollment ID: I20180912003430
Provider NameErika Cruz-martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396258554
PECOS PAC ID: 6406192046
Enrollment ID: I20190118000039
Provider NameAnisley Robaina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124584818
PECOS PAC ID: 3072854967
Enrollment ID: I20190402001310
Provider NameRachel R Pawlenko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336598101
PECOS PAC ID: 4688960479
Enrollment ID: I20190426000389
Provider NameStacey Hewitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053856005
PECOS PAC ID: 1658653407
Enrollment ID: I20200316000304
Provider NameHarold Plancher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760002778
PECOS PAC ID: 8921424607
Enrollment ID: I20200812000645
Provider NameTammy Womack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144850637
PECOS PAC ID: 8628489788
Enrollment ID: I20201202000843
Provider NameElisabeth Buchanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356618748
PECOS PAC ID: 4789828526
Enrollment ID: I20210208000551
Provider NameDaniela Cobb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790372167
PECOS PAC ID: 9739595455
Enrollment ID: I20210304000458
Provider NameRoberta Slauterbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841733854
PECOS PAC ID: 9830479534
Enrollment ID: I20210729001207
Provider NameSandra Ferriere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184211476
PECOS PAC ID: 6103221957
Enrollment ID: I20210817004204
Provider NameStacy Rohr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396410163
PECOS PAC ID: 8426455569
Enrollment ID: I20210916001431
Provider NameNatalia Mysh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679938237
PECOS PAC ID: 4183911456
Enrollment ID: I20211012002426
Provider NameElizabeth Lauren Mackenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841841558
PECOS PAC ID: 3678993516
Enrollment ID: I20220309003295
Provider NameJennifer Leigh Bart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902553571
PECOS PAC ID: 5698160919
Enrollment ID: I20220322003137
Provider NameItalia Cegla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861139990
PECOS PAC ID: 8224418850
Enrollment ID: I20220629001374
Provider NameCarthia Joachim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265039820
PECOS PAC ID: 7214318914
Enrollment ID: I20220712003871
Provider NameSonia Lopez-moriarty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831160175
PECOS PAC ID: 3971986340
Enrollment ID: I20220817002513
Provider NameEbony S Platt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215684675
PECOS PAC ID: 5092199513
Enrollment ID: I20220901002494
Provider NameChelsea Quaglia(tobin)
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659805422
PECOS PAC ID: 2466864244
Enrollment ID: I20221027001761
Provider NameLisa Shantel Newton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184158909
PECOS PAC ID: 3870963549
Enrollment ID: I20221221003194
Provider NameRebecca Ates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467169854
PECOS PAC ID: 4082084579
Enrollment ID: I20221227001174
Provider NameTalphineta Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285107318
PECOS PAC ID: 7719313642
Enrollment ID: I20230125001912
Provider NameDebra Goodman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013325810
PECOS PAC ID: 3375859259
Enrollment ID: I20230314002089
Provider NameBrittany Papanikolaou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679286231
PECOS PAC ID: 0143685354
Enrollment ID: I20230421002391
Provider NameAmy Bonanno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902236698
PECOS PAC ID: 7214155647
Enrollment ID: I20230713000723
Provider NameSabrina Elien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902373905
PECOS PAC ID: 9133581804
Enrollment ID: I20230811001173
Provider NameShannon Alsop
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003043803
PECOS PAC ID: 7517121742
Enrollment ID: I20231204000458
Provider NameCheryl Hilton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184677742
PECOS PAC ID: 4082683651
Enrollment ID: I20231205000811
Provider NameOluwatobi Menawonu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891142774
PECOS PAC ID: 0941588628
Enrollment ID: I20231205001476
Provider NameCharity Mugadza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568715514
PECOS PAC ID: 6800040957
Enrollment ID: I20231229002381
Provider NameKayla Lunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982001830
PECOS PAC ID: 9931524303
Enrollment ID: I20240216000652
Provider NameChirag Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043274772
PECOS PAC ID: 8921902651
Enrollment ID: I20240527000111

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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.