<unavail> in Hawthorne, FL - Medicare General Practice

is a medicare enrolled primary clinic (General Practice) in Hawthorne, Florida. The current practice location for is 6435 Se Us Highway 301, Hawthorne, Florida. For appointments, you can reach them via phone at (352) 358-8070. The mailing address for is 6435 Se Us Highway 301, Hawthorne, Florida and phone number is (352) 358-8070.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831683861. 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) 358-8070.

Contact Information


	6435 Se Us Highway 301 Hawthorne FL 32640-7309
	(352) 358-8070
	(949) 577-4783

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	General Practice
Location	6435 Se Us Highway 301, Hawthorne, Florida
Authorized Official Name and Position	Michell Mulberry (PROVIDER, OWNER)
Authorized Official Contact	3523588070
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6435 Se Us Highway 301 Hawthorne FL 32640-7309 Ph: (352) 358-8070	6435 Se Us Highway 301 Hawthorne FL 32640-7309 Ph: (352) 358-8070

NPI Details:

NPI Number	1831683861
Provider Enumeration Date	06/22/2018
Last Update Date	02/08/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4981025095
Medicare Enrollment ID	O20200528000109

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831683861	NPI	-	NPPES
106245700	Medicaid	FL
107001000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Primary
363LA2200X	Nurse Practitioner - Adult Health	(* (Not Available))	Secondary
363LP2300X	Nurse Practitioner - Primary Care	(* (Not Available))	Secondary

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 Name	Michell Mulberry
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1902141260 PECOS PAC ID: 1456581362 Enrollment ID: I20171017001864

Reviews and Comments

General Practice in Hawthorne, FL

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21815 S.e .71st Avenue, Hawthorne, FL 32640 Phone: 352-481-2400 Fax: 352-481-2777
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22066 Se 71st Avenue, Hawthorne, FL 32640 Phone: 352-481-2700 Fax: 352-481-2392
David M. Trax, D.c., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6005 Se Us Highway 301, Suite 405 A, Hawthorne, FL 32640 Phone: 352-481-9994 Fax: 352-481-9954
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6435 Se Us Highway 301, Hawthorne, FL 32640 Phone: 352-481-5700 Fax: 352-481-5750
Sorrid Medical Consultants Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Lake Susan Rd, Hawthorne, FL 32640 Phone: 352-246-0936

- Medicare Primary Care in Hawthorne, FL