| Geriatrx Care Inc | |
|
3756 Sw Bimini Cir S Palm City FL 34990-1335 | |
| (772) 249-0528 | |
| (772) 237-7841 |
| Full Name | Geriatrx Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3756 Sw Bimini Cir S, Palm City, Florida |
| Authorized Official Name and Position | Christine Lester (BILLING MANAGER) |
| Authorized Official Contact | 7722490528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatrx Care Inc Po Box 2569 Palm City FL 34991-2569 Ph: (772) 249-0528 | Geriatrx Care Inc 3756 Sw Bimini Cir S Palm City FL 34990-1335 Ph: (772) 249-0528 |
| NPI Number | 1700860459 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 06/17/2011 |
| Medicare PECOS PAC ID | 5799791596 |
|---|---|
| Medicare Enrollment ID | O20060303000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700860459 | NPI | - | NPPES |
| 048468700 | Medicaid | FL | |
| 07303 | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lynn Godar-mollica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831291673 PECOS PAC ID: 6709888670 Enrollment ID: I20120703000010 |
| Provider Name | Walter R Gil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851335376 PECOS PAC ID: 9335155134 Enrollment ID: I20120801000094 |
| Provider Name | Kimberly M Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946895 PECOS PAC ID: 9032450168 Enrollment ID: I20190417002801 |
| Provider Name | Barton H Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669957312 PECOS PAC ID: 2466786587 Enrollment ID: I20190624002872 |
| Provider Name | Jennifer Lynn Seegott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124677331 PECOS PAC ID: 5698006484 Enrollment ID: I20191009000759 |
| Provider Name | Jacqueline Anne Gajewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659925337 PECOS PAC ID: 3072845833 Enrollment ID: I20191028001486 |
| Provider Name | Tyrone R Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831741149 PECOS PAC ID: 2567898901 Enrollment ID: I20200204001047 |
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