Family Health Source - Medicare Primary Care in Pierson, FL

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Family Health Source is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pierson, Florida. The current practice location for Family Health Source is 216 N. Frederick Street, Pierson, Florida. For appointments, you can reach them via phone at (386) 202-6025. The mailing address for Family Health Source is 1205 S Woodland Blvd Ste 3, Deland, Florida and phone number is (386) 202-6025.

Family Health Source is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992792311. 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 (386) 202-6025.

Contact Information

Family Health Source
216 N. Frederick Street
Pierson
FL 32180
(386) 202-6025
(386) 200-4563

Map and Direction


Primary Care Clinic Profile

Full NameFamily Health Source
SpecialityClinic/Center
Location216 N. Frederick Street, Pierson, Florida
Authorized Official Name and PositionDina Geoghegan (CREDENTIALING/CONTRACTS ADMIN)
Authorized Official Contact3863274781
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Health Source
1205 S Woodland Blvd Ste 3
Deland
FL 32720-7464

Ph: (386) 202-6025		Family Health Source
216 N. Frederick Street
Pierson
FL 32180

Ph: (386) 202-6025

NPI Details:

NPI Number1992792311
Provider Enumeration Date09/30/2005
Last Update Date03/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0547249518
Medicare Enrollment IDO20040819000233

Medical Identifiers

Medical identifiers for Family Health Source such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992792311NPI-NPPES
687955100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. Family Health Source acts as a billing entity for following providers:
Provider NameFernando Moraflores
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871562249
PECOS PAC ID: 6204899693
Enrollment ID: I20041106000173
Provider NameJohn M Ham Ying
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780683870
PECOS PAC ID: 6002870748
Enrollment ID: I20041112000970
Provider NameLissette Murillo Aristondo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710955810
PECOS PAC ID: 4486656493
Enrollment ID: I20070205000180
Provider NameBruno Mancini
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861448052
PECOS PAC ID: 2365535978
Enrollment ID: I20070912000188
Provider NameHussain Rawji
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932168721
PECOS PAC ID: 9830261536
Enrollment ID: I20091102000118
Provider NameArletty D Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699777342
PECOS PAC ID: 8628145976
Enrollment ID: I20121106000620
Provider NameAngelia Lynn Fuller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366866204
PECOS PAC ID: 7517182785
Enrollment ID: I20140701001463
Provider NameAbisoye Somorin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689026924
PECOS PAC ID: 5193012631
Enrollment ID: I20160927000858
Provider NameSamay Omary
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043486111
PECOS PAC ID: 2264729433
Enrollment ID: I20161003001709
Provider NameHichinaca Roberson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255827044
PECOS PAC ID: 8123370483
Enrollment ID: I20181015002228
Provider NamePayton Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942788005
PECOS PAC ID: 4082967112
Enrollment ID: I20181019000104
Provider NameFerdinand L Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942767637
PECOS PAC ID: 0648511212
Enrollment ID: I20190417003032
Provider NameErin G Hough
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013437706
PECOS PAC ID: 5193084325
Enrollment ID: I20190524000742
Provider NameMelody Koback
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952802043
PECOS PAC ID: 6901161926
Enrollment ID: I20190926001070
Provider NameJanet Heron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255806840
PECOS PAC ID: 7214272145
Enrollment ID: I20200309001510
Provider NameFlor Toledo
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1225672850
PECOS PAC ID: 0941639637
Enrollment ID: I20200401000057
Provider NameYahaira Fernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205428398
PECOS PAC ID: 7416362835
Enrollment ID: I20210217002014
Provider NameZabrina Reynoso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942976030
PECOS PAC ID: 5597161224
Enrollment ID: I20210903002868
Provider NameJacqueline Gordon-hopwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669026126
PECOS PAC ID: 6305177528
Enrollment ID: I20230615000536
Provider NameNeung R Kopter-meredith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881392538
PECOS PAC ID: 7113392788
Enrollment ID: I20230620000340
Provider NameVianey Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073376133
PECOS PAC ID: 1557708666
Enrollment ID: I20240524002164

Reviews and Comments


Clinic/Center in Pierson, FL

Northeast Florida Health Services, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 216 Frederick St, Pierson, FL 32180
Phone: 386-749-9449    Fax: 386-749-9447

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.