Innovative Healthy Aging, Llc is a medicare enrolled primary clinic (Clinic/center) in Tierra Verde, Florida. The current practice location for Innovative Healthy Aging, Llc is 1120 Pinellas Bayway S Ste 105, Tierra Verde, Florida. For appointments, you can reach them via phone at
(727) 282-9724. The mailing address for Innovative Healthy Aging, Llc is 841 2nd Ave S, Tierra Verde, Florida and phone number is (407) 421-6600.
Innovative Healthy Aging, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1669158929. 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
(727) 282-9724.
Primary Care Clinic Profile
| Full Name | Innovative Healthy Aging, Llc |
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| Speciality | Clinic/Center |
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| Location | 1120 Pinellas Bayway S Ste 105, Tierra Verde, Florida |
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| Authorized Official Name and Position | Teresa Annette Nesbit (NURSE PRACTIONER) |
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| Authorized Official Contact | 7272829724 |
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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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Innovative Healthy Aging, Llc
841 2nd Ave S
Tierra Verde
FL 33715-2249
Ph: (407) 421-6600 | Innovative Healthy Aging, Llc
1120 Pinellas Bayway S Ste 105
Tierra Verde
FL 33715-1500
Ph: (727) 282-9724 |
NPI Details:
| NPI Number | 1669158929 |
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| Provider Enumeration Date | 06/22/2023 |
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| Last Update Date | 03/20/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2769821487 |
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| Medicare Enrollment ID | O20240415001549 |
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Medical Identifiers
Medical identifiers for Innovative Healthy Aging, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669158929 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (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.
Innovative Healthy Aging, Llc acts as a billing entity for following providers:
| Provider Name | Teresa Cnm Nesbit |
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| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
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| Provider Identifiers | NPI Number: 1053303941
PECOS PAC ID: 4486093101
Enrollment ID: I20240415001691 |
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