- Medicare Primary Care in Perry, FL

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Perry, Florida. The current practice location for is 1850 S Byron Butler Pkwy, Perry, Florida. For appointments, you can reach them via phone at (850) 838-2030. The mailing address for is 2804 Remington Green Cir Ste 2, Tallahassee, Florida and phone number is (850) 385-4494.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255526638. 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) 838-2030.

Contact Information

1850 S Byron Butler Pkwy
Perry
FL 32348
(850) 838-2030
(850) 838-2040

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1850 S Byron Butler Pkwy, Perry, Florida
Authorized Official Name and PositionLane Miller Lunn (PRESIDENT/CEO)
Authorized Official Contact8503854494
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2804 Remington Green Cir Ste 2
Tallahassee
FL 32308-1550

Ph: (850) 385-4494

1850 S Byron Butler Pkwy
Perry
FL 32348

Ph: (850) 838-2030

NPI Details:

NPI Number1255526638
Provider Enumeration Date09/10/2007
Last Update Date01/17/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6103737697
Medicare Enrollment IDO20040102000848

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255526638NPI-NPPES
692957500MedicaidFL
692957501MedicaidFL
99388OtherFLMEDICARE PART B

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. acts as a billing entity for following providers:
Provider NamePatrick Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346466463
PECOS PAC ID: 9335211218
Enrollment ID: I20080709000655
Provider NameJeffrey David Wasserman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972507556
PECOS PAC ID: 6305977125
Enrollment ID: I20100623000312
Provider NameElaine Larkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780688341
PECOS PAC ID: 3577694694
Enrollment ID: I20100706000205
Provider NameBogdan Maliszewski
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1750385324
PECOS PAC ID: 2961300751
Enrollment ID: I20100901000770
Provider NameDebbi Rye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659741551
PECOS PAC ID: 1355641135
Enrollment ID: I20151201000269
Provider NameChristian Hernandez Nazario
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1184877235
PECOS PAC ID: 6901940360
Enrollment ID: I20190725002982
Provider NameCarla Janese Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891345567
PECOS PAC ID: 9931430782
Enrollment ID: I20191009003167
Provider NameShirley Blanco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659913606
PECOS PAC ID: 0042642092
Enrollment ID: I20191113003100
Provider NameJennifer Vital Whitfield
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1396384582
PECOS PAC ID: 7810324720
Enrollment ID: I20200304002642
Provider NameRita Faye Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174643233
PECOS PAC ID: 3870922545
Enrollment ID: I20200331002699
Provider NameTerri Beth Ellison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073137816
PECOS PAC ID: 5991127219
Enrollment ID: I20200615002424
Provider NameAlicia Davis Melvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578177788
PECOS PAC ID: 5799197703
Enrollment ID: I20201216001939
Provider NameDeliana Gonzalez Torres
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1316068703
PECOS PAC ID: 5294713061
Enrollment ID: I20210517000323
Provider NameJenifer Brickler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861999765
PECOS PAC ID: 3375969751
Enrollment ID: I20220922001349
Provider NameKelly L Dees
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376269878
PECOS PAC ID: 5092182246
Enrollment ID: I20221101002833
Provider NameLorie Knight Barrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336843374
PECOS PAC ID: 2860867207
Enrollment ID: I20230417001708
Provider NameElizabeth Ann Mcdowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114159894
PECOS PAC ID: 8426409483
Enrollment ID: I20240104000987
Provider NameDeshala Teshanne Frazier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356886196
PECOS PAC ID: 8921541772
Enrollment ID: I20240620003487
Provider NameTerri Lynn Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114797552
PECOS PAC ID: 4789128224
Enrollment ID: I20240626000761

Reviews and Comments


Clinic/Center in Perry, FL


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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.