Longevity Clinical Ltc Associates Of Florida Pllc - Medicare Primary Care in Lauderhill, FL

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Longevity Clinical Ltc Associates Of Florida Pllc is a medicare enrolled primary clinic (Nurse Practitioner - Primary Care) in Lauderhill, Florida. The current practice location for Longevity Clinical Ltc Associates Of Florida Pllc is 4300 Rock Island Rd, Lauderhill, Florida. For appointments, you can reach them via phone at (954) 485-6144. The mailing address for Longevity Clinical Ltc Associates Of Florida Pllc is 11770 Us 1, Palm Beach Gardens, Florida and phone number is (561) 815-2427.

Longevity Clinical Ltc Associates Of Florida Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639743750. 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 (954) 485-6144.

Contact Information

Longevity Clinical Ltc Associates Of Florida Pllc
4300 Rock Island Rd
Lauderhill
FL 33319-4528
(954) 485-6144
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLongevity Clinical Ltc Associates Of Florida Pllc
SpecialityNurse Practitioner
Location4300 Rock Island Rd, Lauderhill, Florida
Authorized Official Name and PositionDiane Vincur (CLINICAL SUPPORT TALENT SPECIALIST)
Authorized Official Contact5618152427
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Longevity Clinical Ltc Associates Of Florida Pllc
11770 Us 1
Palm Beach Gardens
FL 33408-3027

Ph: (561) 815-2427		Longevity Clinical Ltc Associates Of Florida Pllc
4300 Rock Island Rd
Lauderhill
FL 33319-4528

Ph: (954) 485-6144

NPI Details:

NPI Number1639743750
Provider Enumeration Date05/13/2021
Last Update Date05/14/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2163826249
Medicare Enrollment IDO20210811003233

Medical Identifiers

Medical identifiers for Longevity Clinical Ltc Associates Of Florida Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639743750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
363LG0600XNurse Practitioner - Gerontology (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (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. Longevity Clinical Ltc Associates Of Florida Pllc acts as a billing entity for following providers:
Provider NameDiana A Oconnor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033147616
PECOS PAC ID: 0648261230
Enrollment ID: I20040521000726
Provider NameTammy L Mangual
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013942473
PECOS PAC ID: 3173539392
Enrollment ID: I20060227000035
Provider NameMelissa Fehr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952624900
PECOS PAC ID: 5294911590
Enrollment ID: I20110523000345
Provider NameKristi Lipps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275977761
PECOS PAC ID: 8123265824
Enrollment ID: I20130517000230
Provider NameKatina R Averette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902278153
PECOS PAC ID: 0840591319
Enrollment ID: I20151229001489
Provider NameAngela Loualan Louque
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710379706
PECOS PAC ID: 4284946369
Enrollment ID: I20160308002494
Provider NameKatherine Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811367584
PECOS PAC ID: 9830489111
Enrollment ID: I20160526002430
Provider NameJil H Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154785921
PECOS PAC ID: 8820389596
Enrollment ID: I20160628000921
Provider NameMichael N Peddycoart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770950420
PECOS PAC ID: 7416240700
Enrollment ID: I20160725001239
Provider NameDanita Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083078208
PECOS PAC ID: 2567753593
Enrollment ID: I20160808000646
Provider NameWillie Lee Frazier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659720241
PECOS PAC ID: 3476849829
Enrollment ID: I20160910000267
Provider NameAhmad S Ali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861778607
PECOS PAC ID: 1759555931
Enrollment ID: I20171106000159
Provider NameMary C Kawalya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497256861
PECOS PAC ID: 6002177094
Enrollment ID: I20180308001674
Provider NameRatchadakon Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538669627
PECOS PAC ID: 3870849136
Enrollment ID: I20180629000464
Provider NameTony David Echols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205327228
PECOS PAC ID: 0941544902
Enrollment ID: I20181130002520
Provider NameMelissa Ann Kruse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194296848
PECOS PAC ID: 3476891698
Enrollment ID: I20190214000373
Provider NameStephanie M Cabrera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063982528
PECOS PAC ID: 9830426824
Enrollment ID: I20190814001267
Provider NameYolanda Marie Kimble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982147203
PECOS PAC ID: 8123371028
Enrollment ID: I20191107002762
Provider NameLyse N Laurin-pierre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265751853
PECOS PAC ID: 1456584200
Enrollment ID: I20200514000718
Provider NameYosvani Garcia Boss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174158034
PECOS PAC ID: 8628490604
Enrollment ID: I20200619001809
Provider NameTina Marie Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023273232
PECOS PAC ID: 5799848206
Enrollment ID: I20220823000045
Provider NameTatyana Kateva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124498407
PECOS PAC ID: 5092015784
Enrollment ID: I20221102003551
Provider NameStacy P Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407089212
PECOS PAC ID: 2860673712
Enrollment ID: I20221104001883

Reviews and Comments


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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.