Micanopy Health & Wellness is a medicare enrolled primary clinic (Family Medicine) in Micanopy, Florida. The current practice location for Micanopy Health & Wellness is 504 Ne Cholokka Blvd, Micanopy, Florida. For appointments, you can reach them via phone at
(352) 466-4600. The mailing address for Micanopy Health & Wellness is Po Box 730, Micanopy, Florida and phone number is () -.
Micanopy Health & Wellness is licensed to practice in Florida (license number ME86620). The clinic also participates in the medicare program and its
NPI number is 1114419769. 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) 466-4600.
Primary Care Clinic Profile
| Full Name | Micanopy Health & Wellness |
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| Speciality | Family Medicine |
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| Location | 504 Ne Cholokka Blvd, Micanopy, Florida |
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| Authorized Official Name and Position | Jon Hemstreet (PRESIDENT) |
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| Authorized Official Contact | 8283901317 |
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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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Micanopy Health & Wellness
Po Box 730
Micanopy
FL 32667-0730
Ph: () - | Micanopy Health & Wellness
504 Ne Cholokka Blvd
Micanopy
FL 32667
Ph: (352) 466-4600 |
NPI Details:
| NPI Number | 1114419769 |
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| Provider Enumeration Date | 05/30/2018 |
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| Last Update Date | 10/19/2018 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1456604016 |
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| Medicare Enrollment ID | O20181029000998 |
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Medical Identifiers
Medical identifiers for Micanopy Health & Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114419769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | ME86620 (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.
Micanopy Health & Wellness acts as a billing entity for following providers:
| Provider Name | Jon E Hemstreet |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1356318471
PECOS PAC ID: 9638269780
Enrollment ID: I20071213000412 |
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