Magnolia Medical Clinic P.a. - Medicare Primary Care in Fort Walton Beach, FL

Magnolia Medical Clinic P.a. is a medicare enrolled primary clinic (Family Medicine) in Fort Walton Beach, Florida. The current practice location for Magnolia Medical Clinic P.a. is 319 Green Acres Rd Ste 101, Fort Walton Beach, Florida. For appointments, you can reach them via phone at (850) 243-7681. The mailing address for Magnolia Medical Clinic P.a. is 319 Green Acres Rd Ste 101, Fort Walton Beach, Florida and phone number is (850) 243-7681.

Magnolia Medical Clinic P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639281652. 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 (850) 243-7681.

Contact Information

Magnolia Medical Clinic P.a.
319 Green Acres Rd Ste 101
Fort Walton Beach
FL 32547
(850) 243-7681
(850) 243-0471

Map and Direction


Primary Care Clinic Profile

Full NameMagnolia Medical Clinic P.a.
SpecialityFamily Medicine
Location319 Green Acres Rd Ste 101, Fort Walton Beach, Florida
Authorized Official Name and PositionCrystal Weatherington (PRACTICE ADMINISTRATOR)
Authorized Official Contact8502430520
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Magnolia Medical Clinic P.a.
319 Green Acres Rd Ste 101
Fort Walton Beach
FL 32547-1170

Ph: (850) 243-7681
Magnolia Medical Clinic P.a.
319 Green Acres Rd Ste 101
Fort Walton Beach
FL 32547

Ph: (850) 243-7681

NPI Details:

NPI Number1639281652
Provider Enumeration Date08/31/2006
Last Update Date07/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8325185473
Medicare Enrollment IDO20091022000578

Medical Identifiers

Medical identifiers for Magnolia Medical Clinic P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639281652NPI-NPPES
254841100MedicaidFL
CH5541OtherFLRAIL ROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Magnolia Medical Clinic P.a. acts as a billing entity for following providers:
Provider NameJohn D Sites
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043322159
PECOS PAC ID: 7012054166
Enrollment ID: I20091023000146
Provider NameChris George Pappas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245273267
PECOS PAC ID: 7517114366
Enrollment ID: I20120829000637
Provider NameTeresa Marie Skojac
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154393700
PECOS PAC ID: 8325292170
Enrollment ID: I20160420000410
Provider NameChristopher P Paulson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265428171
PECOS PAC ID: 2860647385
Enrollment ID: I20170720000065
Provider NameBrandy Marie Lackey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558876656
PECOS PAC ID: 9537429840
Enrollment ID: I20180206002138
Provider NameGrant Eugene Zachary
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982054391
PECOS PAC ID: 6800120312
Enrollment ID: I20190702002540
Provider NameEmily Christine Mcdevitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881892446
PECOS PAC ID: 3779649199
Enrollment ID: I20200806002098
Provider NameJohn E Loudermilk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780996918
PECOS PAC ID: 1658514450
Enrollment ID: I20210408002772
Provider NameLindsay R Herndon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366061343
PECOS PAC ID: 2264855006
Enrollment ID: I20230629002519

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.