Medexpress Urgent Care - Clearwater - Medicare Primary Care in Clearwater, FL

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Medexpress Urgent Care - Clearwater is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Clearwater, Florida. The current practice location for Medexpress Urgent Care - Clearwater is 26812 Us Highway 19 N, Clearwater, Florida. For appointments, you can reach them via phone at (727) 799-2727. The mailing address for Medexpress Urgent Care - Clearwater is 423 Fortress Blvd, Morgantown, West Virginia and phone number is (304) 225-2500.

Medexpress Urgent Care - Clearwater is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780633834. 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) 799-2727.

Contact Information

Medexpress Urgent Care - Clearwater
26812 Us Highway 19 N
Clearwater
FL 33761-3405
(727) 799-2727
(727) 210-0810

Map and Direction


Primary Care Clinic Profile

Full NameMedexpress Urgent Care - Clearwater
SpecialityClinic/Center
Location26812 Us Highway 19 N, Clearwater, Florida
Authorized Official Name and PositionJoy Kimball (CONTRACT MANAGER)
Authorized Official Contact7633496740
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Medexpress Urgent Care - Clearwater
423 Fortress Blvd
Morgantown
WV 26508-1351

Ph: (304) 225-2500		Medexpress Urgent Care - Clearwater
26812 Us Highway 19 N
Clearwater
FL 33761-3405

Ph: (727) 799-2727

NPI Details:

NPI Number1780633834
Provider Enumeration Date05/08/2006
Last Update Date05/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3779573167
Medicare Enrollment IDO20040517001035

Medical Identifiers

Medical identifiers for Medexpress Urgent Care - Clearwater such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780633834NPI-NPPES
017879600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QU0200XClinic/center - Urgent 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. Medexpress Urgent Care - Clearwater acts as a billing entity for following providers:
Provider NameBarry Robert Weiss
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861467201
PECOS PAC ID: 3870491574
Enrollment ID: I20031219000270
Provider NameRobert Schwartz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053349316
PECOS PAC ID: 1355235946
Enrollment ID: I20040213000068
Provider NameTom Pleasants
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306895164
PECOS PAC ID: 8527957463
Enrollment ID: I20040403000265
Provider NameStephen M Parsons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134171077
PECOS PAC ID: 6406837376
Enrollment ID: I20040526001168
Provider NameChris Kunis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760429989
PECOS PAC ID: 9335122969
Enrollment ID: I20040612000335
Provider NameKathryn S Shellhart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669496089
PECOS PAC ID: 5496720179
Enrollment ID: I20040826001030
Provider NameNeil Piwovar
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316943202
PECOS PAC ID: 2466425715
Enrollment ID: I20041005000270
Provider NameSophia S Salmon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508896986
PECOS PAC ID: 4789637844
Enrollment ID: I20050301000428
Provider NameGregg Nezowitz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619945730
PECOS PAC ID: 0941228290
Enrollment ID: I20051105000142
Provider NameCynthia L Johnston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831162239
PECOS PAC ID: 7911927793
Enrollment ID: I20051123000425
Provider NameLisa K Brundrett
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942241278
PECOS PAC ID: 6002837622
Enrollment ID: I20051212000265
Provider NameCornel Tomelden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720051733
PECOS PAC ID: 7810880580
Enrollment ID: I20060103000691
Provider NameLaurel E Ciccarello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790722957
PECOS PAC ID: 8123033123
Enrollment ID: I20060213000402
Provider NameTina M Dochniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427094937
PECOS PAC ID: 5698879682
Enrollment ID: I20070402000011
Provider NameJames P Davison
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104855626
PECOS PAC ID: 2961500178
Enrollment ID: I20070612000697
Provider NameOtniel Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003000720
PECOS PAC ID: 3870683139
Enrollment ID: I20071227000001
Provider NameJoseph E Schreier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952350175
PECOS PAC ID: 1456425081
Enrollment ID: I20080731000067
Provider NameJulia A Barlow-vorster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124072533
PECOS PAC ID: 1052369485
Enrollment ID: I20090511000081
Provider NameHoward Diamond
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003865320
PECOS PAC ID: 6608991765
Enrollment ID: I20100913000553
Provider NameEduardo Solis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154402865
PECOS PAC ID: 8123215340
Enrollment ID: I20101214000144
Provider NameDavid R Ferrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376542290
PECOS PAC ID: 0345255311
Enrollment ID: I20110929000611
Provider NameStephanie M Wise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508149048
PECOS PAC ID: 7416129481
Enrollment ID: I20111017000731
Provider NameLauren N Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821343864
PECOS PAC ID: 8123276656
Enrollment ID: I20120907000195
Provider NameJanet L Revilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528329943
PECOS PAC ID: 8820246135
Enrollment ID: I20120911000705
Provider NameDina Fedor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164728010
PECOS PAC ID: 0345414892
Enrollment ID: I20120928000084
Provider NameLatisa Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235473638
PECOS PAC ID: 7810149432
Enrollment ID: I20121206000122
Provider NameNick R Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851559454
PECOS PAC ID: 9830361062
Enrollment ID: I20121212000498
Provider NameChristopher Kempf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033461603
PECOS PAC ID: 1850545625
Enrollment ID: I20130201000099
Provider NameRandal Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134158702
PECOS PAC ID: 2062438302
Enrollment ID: I20130522000378
Provider NameErin M Linsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891129805
PECOS PAC ID: 5991939878
Enrollment ID: I20131008001218
Provider NameTeaondra M Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467887059
PECOS PAC ID: 2466686159
Enrollment ID: I20131011001497
Provider NameCheryl Ann Mcguire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952650459
PECOS PAC ID: 1759516511
Enrollment ID: I20131101001178
Provider NameSean Muffley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407289929
PECOS PAC ID: 5496982449
Enrollment ID: I20131218001317
Provider NameLinda K Eld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821098369
PECOS PAC ID: 9032185533
Enrollment ID: I20140320001700
Provider NameMarinelle Platon-jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912056789
PECOS PAC ID: 2961627930
Enrollment ID: I20140707001733
Provider NameCatherine Tuorto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780087627
PECOS PAC ID: 3274856539
Enrollment ID: I20141218000905
Provider NameLaura C Lemmenes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750482592
PECOS PAC ID: 6901064732
Enrollment ID: I20150224001044
Provider NamePatrick M Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578952875
PECOS PAC ID: 4880905819
Enrollment ID: I20150617003024
Provider NamePaula Kay Fontenote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770569931
PECOS PAC ID: 5890719934
Enrollment ID: I20150623000832
Provider NameLisa K Muchler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164676607
PECOS PAC ID: 5496819385
Enrollment ID: I20150820009879
Provider NameThomas Asher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548265044
PECOS PAC ID: 1850453820
Enrollment ID: I20160113002703
Provider NameLucas J Mcarthur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013150077
PECOS PAC ID: 2860705340
Enrollment ID: I20160418001526
Provider NameIsaiah Antonek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669870960
PECOS PAC ID: 8123327467
Enrollment ID: I20160509000827
Provider NameFrank Massotto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528429495
PECOS PAC ID: 1850681040
Enrollment ID: I20160531001501
Provider NameMary Lob
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841238771
PECOS PAC ID: 9638144520
Enrollment ID: I20160726000613
Provider NameJessica J Morton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144684804
PECOS PAC ID: 6901190826
Enrollment ID: I20160815002558
Provider NameKessarin Gustafson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407203821
PECOS PAC ID: 8224325238
Enrollment ID: I20160919002598
Provider NameRavi V Sharma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023412368
PECOS PAC ID: 2264720564
Enrollment ID: I20161018003064
Provider NameCynthia Good
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538112784
PECOS PAC ID: 8820043268
Enrollment ID: I20161028000952
Provider NameRavindra N Vajjhala
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124078613
PECOS PAC ID: 5193615433
Enrollment ID: I20161112000126
Provider NameGregory D Baisden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487103594
PECOS PAC ID: 9234411489
Enrollment ID: I20170123002286
Provider NameMarc S Lampell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1154390508
PECOS PAC ID: 6406893353
Enrollment ID: I20170223001828
Provider NameJennifer Sierra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003365461
PECOS PAC ID: 9638453913
Enrollment ID: I20170306000967
Provider NameDavid Hefner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013114610
PECOS PAC ID: 7517016355
Enrollment ID: I20170307001767
Provider NameRichard Boone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023080215
PECOS PAC ID: 0345285755
Enrollment ID: I20170427001231
Provider NameSara Mia Ahmed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518385749
PECOS PAC ID: 6507143351
Enrollment ID: I20170503001146
Provider NameLatoya T Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598187965
PECOS PAC ID: 6901173152
Enrollment ID: I20170518002780
Provider NameKatherine Elizabeth Blake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912246331
PECOS PAC ID: 8921238965
Enrollment ID: I20170613000208
Provider NameFrederick Brian Brautigan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710931068
PECOS PAC ID: 1850284936
Enrollment ID: I20170831003013
Provider NameLauren Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326567546
PECOS PAC ID: 0345507349
Enrollment ID: I20171129002623
Provider NameJesus Cardenas Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669995379
PECOS PAC ID: 9830458488
Enrollment ID: I20180105001180
Provider NameSavina Venkova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811445133
PECOS PAC ID: 3274892468
Enrollment ID: I20180116000983
Provider NameLawrence A Lewis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346206604
PECOS PAC ID: 1951295013
Enrollment ID: I20180123000658
Provider NameJacqueline J Dalla Rosa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871000513
PECOS PAC ID: 0446511133
Enrollment ID: I20180220001673
Provider NameRobin E Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275948457
PECOS PAC ID: 7113279043
Enrollment ID: I20181004000328
Provider NamePhyllis D Wille
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619046174
PECOS PAC ID: 4587757778
Enrollment ID: I20181012002451
Provider NameMary Kuhn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639654122
PECOS PAC ID: 1759627177
Enrollment ID: I20190107000693
Provider NameJennelyn Ipo Moneda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962984104
PECOS PAC ID: 3375881451
Enrollment ID: I20190214003059
Provider NameAnn Andrzejewski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326594581
PECOS PAC ID: 8325335508
Enrollment ID: I20190225001510
Provider NameMichael Vito Dimucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083694806
PECOS PAC ID: 1759286842
Enrollment ID: I20190313002046
Provider NameIan S Fried
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457918633
PECOS PAC ID: 8729315049
Enrollment ID: I20190809000500
Provider NameTracey C Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336579697
PECOS PAC ID: 8921239450
Enrollment ID: I20190909002357
Provider NameAngelica P Lamb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235602731
PECOS PAC ID: 5991036709
Enrollment ID: I20191009001558
Provider NameKelvinna Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912249343
PECOS PAC ID: 3870728165
Enrollment ID: I20191112001394
Provider NameBrett Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558904961
PECOS PAC ID: 3678908381
Enrollment ID: I20200127000347
Provider NameJenifer L Grooms
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104178896
PECOS PAC ID: 7810142841
Enrollment ID: I20200206002390
Provider NameDavid Roman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518036748
PECOS PAC ID: 6305870718
Enrollment ID: I20200304000927
Provider NamePatti Ann Dasilva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457741985
PECOS PAC ID: 5496060246
Enrollment ID: I20200317000989
Provider NameSuzanne C Dargan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033524970
PECOS PAC ID: 7012136674
Enrollment ID: I20201007003301
Provider NameSacha Shaw
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316109762
PECOS PAC ID: 6406027184
Enrollment ID: I20201110000794
Provider NameCharlene Micale Somaru
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801328679
PECOS PAC ID: 3173895356
Enrollment ID: I20201118001066
Provider NameRuth Holman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427021492
PECOS PAC ID: 0840206629
Enrollment ID: I20201214001589
Provider NameJennifer L Solano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609460112
PECOS PAC ID: 5890102826
Enrollment ID: I20210318001390
Provider NameSuzzette Maria Alio Llado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780038406
PECOS PAC ID: 9335431717
Enrollment ID: I20210617001065
Provider NameYandro Leal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932690021
PECOS PAC ID: 0042611501
Enrollment ID: I20210622002652
Provider NameDanita Fox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013236207
PECOS PAC ID: 9739406307
Enrollment ID: I20210804003732
Provider NameJeannette Humphrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407198377
PECOS PAC ID: 8820236920
Enrollment ID: I20211202001687
Provider NameWeliya Mohamed Bajiba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235699406
PECOS PAC ID: 9739418419
Enrollment ID: I20211207000668
Provider NameCarolina Pavon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053951996
PECOS PAC ID: 1850787318
Enrollment ID: I20220408001975
Provider NameWalter J Kaniefski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003840422
PECOS PAC ID: 7113839259
Enrollment ID: I20220419002662
Provider NameJeffrey Butch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780835686
PECOS PAC ID: 0840261137
Enrollment ID: I20220506001289
Provider NameJulie Keefer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124508908
PECOS PAC ID: 6406107028
Enrollment ID: I20220613001822
Provider NameDonna J Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578930715
PECOS PAC ID: 2264732015
Enrollment ID: I20220622001433
Provider NameKellie Gautier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215219902
PECOS PAC ID: 5597939595
Enrollment ID: I20220725002198
Provider NameDaniel T Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780880021
PECOS PAC ID: 8426243809
Enrollment ID: I20221013000005
Provider NameKelley Defilippis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598243040
PECOS PAC ID: 0749656841
Enrollment ID: I20221014000112
Provider NameMonique Richmond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649635467
PECOS PAC ID: 6406159631
Enrollment ID: I20221101000697
Provider NameSandra Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134408461
PECOS PAC ID: 6608047386
Enrollment ID: I20221128000038
Provider NameKayla Otworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770137580
PECOS PAC ID: 8820328545
Enrollment ID: I20221216000515
Provider NameMichael Zimmer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881825743
PECOS PAC ID: 2961659859
Enrollment ID: I20221221001830
Provider NameDavid Berkson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588756233
PECOS PAC ID: 6103822903
Enrollment ID: I20221227001036
Provider NameJoseph B Larkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538524467
PECOS PAC ID: 2668764994
Enrollment ID: I20230106000273
Provider NameBernetta Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619487303
PECOS PAC ID: 5799024246
Enrollment ID: I20230118003083
Provider NameLindsey Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922344407
PECOS PAC ID: 6002051596
Enrollment ID: I20230123000036
Provider NameAlison Begay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356820278
PECOS PAC ID: 2860732021
Enrollment ID: I20230131002140
Provider NameNicole Tiefel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326438599
PECOS PAC ID: 8123392586
Enrollment ID: I20230201003445
Provider NameRafael Torres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487745980
PECOS PAC ID: 7416923305
Enrollment ID: I20230202000509
Provider NameJessica Borst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487204319
PECOS PAC ID: 9436489648
Enrollment ID: I20230203000172
Provider NameKaron Branch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740669795
PECOS PAC ID: 4385948686
Enrollment ID: I20230306002911
Provider NameHabakuk Michel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467806448
PECOS PAC ID: 6507129749
Enrollment ID: I20230505001687
Provider NameAndrew Becker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851379549
PECOS PAC ID: 8426185604
Enrollment ID: I20230515000668
Provider NameKhawaja Siddique
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750636635
PECOS PAC ID: 0345556718
Enrollment ID: I20230524003857
Provider NameHillary Ruth Goodwin-yildiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073038584
PECOS PAC ID: 8224392915
Enrollment ID: I20230713001883
Provider NameHilary Lash
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801839394
PECOS PAC ID: 3173710431
Enrollment ID: I20230719003320
Provider NameMarek Didluch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750312641
PECOS PAC ID: 1951366756
Enrollment ID: I20230823000263
Provider NameJulie Lynn Waddell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700843125
PECOS PAC ID: 0840233565
Enrollment ID: I20230929002205
Provider NameFaredoon Misaghi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427097302
PECOS PAC ID: 9638063076
Enrollment ID: I20230929002632

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Phone: 727-461-8300    Fax: 727-635-2187

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.