Panhandle Primary Care Pllc | |
92 Pimlico Dr Crawfordville FL 32327-2499 | |
(850) 879-0759 | |
Not Available |
Full Name | Panhandle Primary Care Pllc |
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Speciality | Clinic/Center |
Location | 92 Pimlico Dr, Crawfordville, Florida |
Authorized Official Name and Position | Valerie Marie Russell (BUSINESS OWNER) |
Authorized Official Contact | 8508790759 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Panhandle Primary Care Pllc 92 Pimlico Dr Crawfordville FL 32327-2499 Ph: (850) 879-0759 | Panhandle Primary Care Pllc 92 Pimlico Dr Crawfordville FL 32327-2499 Ph: (850) 879-0759 |
NPI Number | 1558186437 |
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Provider Enumeration Date | 11/18/2024 |
Last Update Date | 11/18/2024 |
Medicare PECOS PAC ID | 7315473543 |
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Medicare Enrollment ID | O20241211000127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558186437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Valerie Russell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508053240 PECOS PAC ID: 3779673835 Enrollment ID: I20090226000074 |
Wakulla Urgent Care & Diagnostic Center Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Feli Way, Crawfordville, FL 32327 Phone: 850-926-3140 Fax: 850-926-3163 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Council Moore Rd, Crawfordville, FL 32327 Phone: 850-926-7105 Fax: 850-926-2034 | |
Wakulla County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Oak St, Crawfordville, FL 32327 Phone: 850-926-3591 Fax: 850-926-1938 | |
Grant Center Hospital Of Ocala Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2382 Crawfordville Hwy, Suite C, Crawfordville, FL 32327 Phone: 850-926-6363 Fax: 850-926-2602 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Council Moore Rd, Crawfordville, FL 32327 Phone: 850-926-7105 |