| Nature Coast Provider Outreach | |
|
7562 W Gulf To Lake Hwy Crystal River FL 34429-7840 | |
| (352) 436-4328 | |
| (352) 260-0960 |
| Full Name | Nature Coast Provider Outreach |
|---|---|
| Speciality | Family Medicine |
| Location | 7562 W Gulf To Lake Hwy, Crystal River, Florida |
| Authorized Official Name and Position | Kenneth L Savage (OWNER) |
| Authorized Official Contact | 3524364328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nature Coast Provider Outreach 7562 W Gulf To Lake Hwy Crystal River FL 34429-7840 Ph: (352) 436-4328 | Nature Coast Provider Outreach 7562 W Gulf To Lake Hwy Crystal River FL 34429-7840 Ph: (352) 436-4328 |
| NPI Number | 1013377795 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 1759674658 |
|---|---|
| Medicare Enrollment ID | O20160801000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013377795 | NPI | - | NPPES |
| OS10486 | Other | FL | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10486 (Florida) | Primary |
| Provider Name | Mario A Mendizabal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942295639 PECOS PAC ID: 5092710905 Enrollment ID: I20060928000187 |
| Provider Name | Barry P Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659497303 PECOS PAC ID: 3476632472 Enrollment ID: I20080528000546 |
| Provider Name | Kenneth L Savage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588813661 PECOS PAC ID: 9638238207 Enrollment ID: I20081111000803 |
| Provider Name | Joseph P Mcnerney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801903539 PECOS PAC ID: 7810889706 Enrollment ID: I20140317001538 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508243023 PECOS PAC ID: 0840509923 Enrollment ID: I20151013001159 |
| Provider Name | Antoinette Y Frussinetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740596451 PECOS PAC ID: 5597929562 Enrollment ID: I20161019000089 |
| Provider Name | Janet K Slawinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114125101 PECOS PAC ID: 4789700758 Enrollment ID: I20170104000254 |
| Provider Name | April Weliever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003290834 PECOS PAC ID: 5395099428 Enrollment ID: I20181108001094 |
| Provider Name | Roger Lester Danclar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558380139 PECOS PAC ID: 5193039261 Enrollment ID: I20230814000727 |
| Provider Name | Christian Alexis Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578200846 PECOS PAC ID: 4880032440 Enrollment ID: I20240402003623 |
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Tampa General Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Us Highway 19 Ste 1669, Crystal River, FL 34429 Phone: 352-563-2407 | |
Hospitalists Of Citrus County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-601-2375 Fax: 813-200-3667 | |
Triple Aim Medical Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7562 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-436-4328 | |
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