- Medicare Primary Care in Sumterville, FL

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sumterville, Florida. The current practice location for is 1389 S Us 301, Sumterville, Florida. For appointments, you can reach them via phone at (352) 793-5900. The mailing address for is 1425 S Us 301, Sumterville, Florida and phone number is (352) 793-5900.

is licensed to practice in Florida (license number N/A). The clinic also participates in the medicare program and its NPI number is 1437180239. 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 (352) 793-5900.

Contact Information

1389 S Us 301
Sumterville
FL 33585-5143
(352) 793-5900
(352) 793-9558

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1389 S Us 301, Sumterville, Florida
Authorized Official Name and PositionThomas Chase (CEO)
Authorized Official Contact3527935900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1425 S Us 301
Sumterville
FL 33585-5141

Ph: (352) 793-5900
1389 S Us 301
Sumterville
FL 33585-5143

Ph: (352) 793-5900

NPI Details:

NPI Number1437180239
Provider Enumeration Date07/06/2006
Last Update Date12/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0446153399
Medicare Enrollment IDO20040601001397

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437180239NPI-NPPES
99022OtherFLBLUE CROSS BLUE SHIELD
029547700MedicaidFL
10D0289672OtherFLCLIA
609521400OtherFLDEPT OF LABOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) N/A (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameFaramarz H Ghazi-tehrani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871713651
PECOS PAC ID: 9436056355
Enrollment ID: I20031217000943
Provider NameJeremy David Havas
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043203003
PECOS PAC ID: 0143213678
Enrollment ID: I20040408000295
Provider NameDonna M Edwards
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073677332
PECOS PAC ID: 5698758209
Enrollment ID: I20040612000186
Provider NameYi Liu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700835170
PECOS PAC ID: 5395725915
Enrollment ID: I20040723000691
Provider NameMichael Herron
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700867207
PECOS PAC ID: 1052362001
Enrollment ID: I20050207000789
Provider NameRichard Held
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1235180605
PECOS PAC ID: 8325051048
Enrollment ID: I20060725000424
Provider NameDeborah M Greer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780607846
PECOS PAC ID: 7618973827
Enrollment ID: I20061011000560
Provider NameRosa Malnati
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1659333417
PECOS PAC ID: 7416050265
Enrollment ID: I20070315000112
Provider NameJohn L Mcmullen
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1891998498
PECOS PAC ID: 1557435575
Enrollment ID: I20080808000220
Provider NamePami Ball Pella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265567051
PECOS PAC ID: 3476618158
Enrollment ID: I20090212000271
Provider NameClifford C Adam
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1568662559
PECOS PAC ID: 8921164435
Enrollment ID: I20090309000450
Provider NameMarc S Schwartzberg
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1982652095
PECOS PAC ID: 1658455027
Enrollment ID: I20100123000209
Provider NameGeorge Kainz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366493702
PECOS PAC ID: 7012091481
Enrollment ID: I20100304000987
Provider NameManoj Bhatia
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114975281
PECOS PAC ID: 2668556036
Enrollment ID: I20100311000828
Provider NameJerry Carroll
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497931406
PECOS PAC ID: 0840322335
Enrollment ID: I20110624000323
Provider NameSujata Kumar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679559512
PECOS PAC ID: 8921274093
Enrollment ID: I20111221000073
Provider NameMichael Joseph Amiel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245254937
PECOS PAC ID: 1456515550
Enrollment ID: I20120620000578
Provider NameWilliam J Garofolo
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1225105463
PECOS PAC ID: 7416101845
Enrollment ID: I20130211000568
Provider NameAlexander Moya
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1457616922
PECOS PAC ID: 2668610502
Enrollment ID: I20130604000692
Provider NameArthur Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265690440
PECOS PAC ID: 2163642950
Enrollment ID: I20140929002327
Provider NameSohail Arif
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1386638898
PECOS PAC ID: 8224222534
Enrollment ID: I20150519002229
Provider NameMarcus M Kessler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639354798
PECOS PAC ID: 8426214446
Enrollment ID: I20160203001604
Provider NameAmber J Judd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285003426
PECOS PAC ID: 5597063180
Enrollment ID: I20160414002145
Provider NameJeanette E Short
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831649656
PECOS PAC ID: 9436436722
Enrollment ID: I20170516001188
Provider NameKomala N Bhushan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457412801
PECOS PAC ID: 7315211406
Enrollment ID: I20170928001975
Provider NameOlga Grajales
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467431064
PECOS PAC ID: 0648538751
Enrollment ID: I20171219002159
Provider NameSantharam Nallamshetty
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578564811
PECOS PAC ID: 7810256187
Enrollment ID: I20180111001736
Provider NameMarcy L Howard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386698272
PECOS PAC ID: 6103189469
Enrollment ID: I20180419000393
Provider NameTonya K Rezmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124504121
PECOS PAC ID: 8325387624
Enrollment ID: I20190305000301
Provider NameDavid Lee Factor
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518940147
PECOS PAC ID: 8820997026
Enrollment ID: I20190925002551
Provider NameKenneth D Mandato
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871677682
PECOS PAC ID: 0446244941
Enrollment ID: I20191127000139
Provider NameStephen Z Grahovac
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275593311
PECOS PAC ID: 2365416948
Enrollment ID: I20200122002010
Provider NameDanielle Pare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629629324
PECOS PAC ID: 3870920119
Enrollment ID: I20200225002856
Provider NameSara Matos
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316345879
PECOS PAC ID: 2860829058
Enrollment ID: I20200228000156
Provider NameVicki Sattler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720674542
PECOS PAC ID: 9638582521
Enrollment ID: I20210114001111
Provider NameFelix M Mckenzie
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1578660874
PECOS PAC ID: 7517121379
Enrollment ID: I20210401000467
Provider NameErmite Caris-barlatier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083185169
PECOS PAC ID: 8527469485
Enrollment ID: I20210629002631
Provider NameSteven Hwang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518359884
PECOS PAC ID: 0345662243
Enrollment ID: I20210818000396
Provider NameKenneth Shaun Garner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184231318
PECOS PAC ID: 5698173185
Enrollment ID: I20211014000195
Provider NameKristie Dawn Murdock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275203424
PECOS PAC ID: 2163810599
Enrollment ID: I20211103002723
Provider NameNoel Espinosa Sanchez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1841831146
PECOS PAC ID: 4082004767
Enrollment ID: I20211213001257
Provider NameCarmen Milagros Rodriguez Rodriguez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871548313
PECOS PAC ID: 4688625569
Enrollment ID: I20220128001886
Provider NameRafik Ben Abda
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205195146
PECOS PAC ID: 8921221599
Enrollment ID: I20220510000690
Provider NameIsrael Villanueva Matos
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1780232033
PECOS PAC ID: 2769810654
Enrollment ID: I20220525000265
Provider NameDanielle Mcarthur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104463728
PECOS PAC ID: 2961838826
Enrollment ID: I20220729002960
Provider NameAriana Jazmin Leal Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598495905
PECOS PAC ID: 3476936287
Enrollment ID: I20220811001134
Provider NameKathy Brown Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275263766
PECOS PAC ID: 0446632335
Enrollment ID: I20220819001265
Provider NameDavid Thao
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1679829212
PECOS PAC ID: 6709195126
Enrollment ID: I20220824003311
Provider NameSamantha Z Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366170102
PECOS PAC ID: 3072989961
Enrollment ID: I20221018001326
Provider NameAmanda Kaye Bright
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710336284
PECOS PAC ID: 3577992825
Enrollment ID: I20221117000103
Provider NameRebekah Jo Costello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518681006
PECOS PAC ID: 6709255334
Enrollment ID: I20221202002965
Provider NameKeisha Odeen Walters-richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740701556
PECOS PAC ID: 5496124554
Enrollment ID: I20221212002002
Provider NameAlicia Lints
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891408878
PECOS PAC ID: 3779954748
Enrollment ID: I20230130002626
Provider NameJuan Carlos De Los Santos
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1003885823
PECOS PAC ID: 4284531500
Enrollment ID: I20230209001992
Provider NameCarmen D Cosme
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912957994
PECOS PAC ID: 7911000153
Enrollment ID: I20230516003697
Provider NamePeggy Sue Slusarski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235824665
PECOS PAC ID: 6002273497
Enrollment ID: I20230530002304
Provider NameMeaghan Marie Lutes
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1760974554
PECOS PAC ID: 3274995485
Enrollment ID: I20230818001895
Provider NameSierra Colclough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598444895
PECOS PAC ID: 0840653994
Enrollment ID: I20230823000802
Provider NameElizabeth Bassey Duke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578738183
PECOS PAC ID: 5294183810
Enrollment ID: I20231121000116
Provider NameWilliam Enrique Acobe Vazquez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1447941141
PECOS PAC ID: 2769828763
Enrollment ID: I20240313001108
Provider NameSo Yeon Oh
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1184878803
PECOS PAC ID: 7618419763
Enrollment ID: I20240605001032
Provider NameJessica Spencer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194416057
PECOS PAC ID: 2961936711
Enrollment ID: I20241115001432
Provider NameNatasha M Smith
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1285968487
PECOS PAC ID: 2264968064
Enrollment ID: I20241203003823

Reviews and Comments


Clinic/Center in Sumterville, FL


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1425 S Us 301, Sumterville, FL 33585
Phone: 352-237-6162    
Sumter Pediatrics Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 617 S Us 301 Ste B, Sumterville, FL 33585
Phone: 352-569-4980    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 595 N Lecanto Hwy, Sumterville, FL 33585
Phone: 352-793-5900    Fax: 352-687-2804

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.