Palm Harbor Family Practice And Walk In Clinic Pa - Medicare Primary Care in Palm Coast, FL

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Palm Harbor Family Practice And Walk In Clinic Pa is a medicare enrolled primary clinic (General Practice) in Palm Coast, Florida. The current practice location for Palm Harbor Family Practice And Walk In Clinic Pa is 9 Pine Cone Dr, Suite 102, Palm Coast, Florida. For appointments, you can reach them via phone at (386) 445-6191. The mailing address for Palm Harbor Family Practice And Walk In Clinic Pa is 9 Pine Cone Dr, Suite 102, Palm Coast, Florida and phone number is (386) 445-6191.

Palm Harbor Family Practice And Walk In Clinic Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831311810. 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 (386) 445-6191.

Contact Information

Palm Harbor Family Practice And Walk In Clinic Pa
9 Pine Cone Dr
Suite 102
Palm Coast
FL 32137-8686
(386) 445-6191
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePalm Harbor Family Practice And Walk In Clinic Pa
SpecialityGeneral Practice
Location9 Pine Cone Dr, Palm Coast, Florida
Authorized Official Name and PositionSeeta Fruehan (OFFICE MANAGER)
Authorized Official Contact3864456191
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Palm Harbor Family Practice And Walk In Clinic Pa
9 Pine Cone Dr
Suite 102
Palm Coast
FL 32137-8686

Ph: (386) 445-6191		Palm Harbor Family Practice And Walk In Clinic Pa
9 Pine Cone Dr
Suite 102
Palm Coast
FL 32137-8686

Ph: (386) 445-6191

NPI Details:

NPI Number1831311810
Provider Enumeration Date05/02/2007
Last Update Date03/05/2013

Medicare PECOS Information:

Medicare PECOS PAC ID9133108541
Medicare Enrollment IDO20040719000940

Medical Identifiers

Medical identifiers for Palm Harbor Family Practice And Walk In Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831311810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. Palm Harbor Family Practice And Walk In Clinic Pa acts as a billing entity for following providers:
Provider NameMatthew T Dorman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740284439
PECOS PAC ID: 0941282198
Enrollment ID: I20040602001138
Provider NameSuzanne Korum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093149569
PECOS PAC ID: 6204065071
Enrollment ID: I20140128000958
Provider NameKaren Marley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992188833
PECOS PAC ID: 5597071092
Enrollment ID: I20150828001532
Provider NameTolulope Aderonke Oduyejo-williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720524531
PECOS PAC ID: 2264716919
Enrollment ID: I20170225000045
Provider NameLindsey Person Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003352782
PECOS PAC ID: 1658656574
Enrollment ID: I20170315002436
Provider NameMelanie M Goodwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902357858
PECOS PAC ID: 9739423427
Enrollment ID: I20181206002524
Provider NameLinda Gillis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245770742
PECOS PAC ID: 1153691696
Enrollment ID: I20190118000758
Provider NameSarah E Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316186166
PECOS PAC ID: 9133267354
Enrollment ID: I20190607000939
Provider NameChristine E. Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780161851
PECOS PAC ID: 1355677238
Enrollment ID: I20190730004070
Provider NameTiffany N Major
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821579103
PECOS PAC ID: 2567790322
Enrollment ID: I20190819001617
Provider NameKelley Wise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023656600
PECOS PAC ID: 1456577253
Enrollment ID: I20200207000535
Provider NameEmily Sayas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689214520
PECOS PAC ID: 7416384680
Enrollment ID: I20200227002431
Provider NamePenny R Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669016259
PECOS PAC ID: 3971933599
Enrollment ID: I20200423000097
Provider NameJenna Elizabeth Almond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215400908
PECOS PAC ID: 3173937372
Enrollment ID: I20210129001467
Provider NameChelsey Lossen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184275398
PECOS PAC ID: 6608283320
Enrollment ID: I20210325000843
Provider NameIrene R Wolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023443173
PECOS PAC ID: 3173758034
Enrollment ID: I20210513000114
Provider NameMartin Tran
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1316563471
PECOS PAC ID: 1557780681
Enrollment ID: I20220307000871
Provider NameAugusta Slocum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427428077
PECOS PAC ID: 8224320403
Enrollment ID: I20220808000782
Provider NameMarcus Magidow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376274654
PECOS PAC ID: 1052794914
Enrollment ID: I20220810002651
Provider NameRobert Ratcliff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164198925
PECOS PAC ID: 3577938638
Enrollment ID: I20230404001104
Provider NameAdrian Rolle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780225227
PECOS PAC ID: 4880012525
Enrollment ID: I20230629000590
Provider NameJaclyn A Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720372964
PECOS PAC ID: 4880862630
Enrollment ID: I20230918003983

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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.