| Quality Healthcare Services Pllc | |
|
6038 W Nordling Loop Crystal River FL 34429-8715 | |
| (352) 563-5070 | |
| (352) 795-4322 |
| Full Name | Quality Healthcare Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6038 W Nordling Loop, Crystal River, Florida |
| Authorized Official Name and Position | Rachael Grant-floyd (INSURANCE SPECIALIST) |
| Authorized Official Contact | 3525635070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Healthcare Services Pllc 6038 W Nordling Loop Crystal River FL 34429-8715 Ph: (352) 563-5070 | Quality Healthcare Services Pllc 6038 W Nordling Loop Crystal River FL 34429-8715 Ph: (352) 563-5070 |
| NPI Number | 1184194334 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 5698012441 |
|---|---|
| Medicare Enrollment ID | O20190131003278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184194334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlene Angella Phoenix Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407850365 PECOS PAC ID: 1658330006 Enrollment ID: I20060117000828 |
| Provider Name | Ann M Bute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801176987 PECOS PAC ID: 6002089372 Enrollment ID: I20111101000724 |
| Provider Name | Lauralee A Woods-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467822957 PECOS PAC ID: 0345540308 Enrollment ID: I20151123001577 |
| Provider Name | Mary E Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114205200 PECOS PAC ID: 0840460481 Enrollment ID: I20160922001140 |
| Provider Name | Traci Marie Miramontes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493279 PECOS PAC ID: 5597171132 Enrollment ID: I20210308000213 |
| Provider Name | Pam Rawat-katoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649046624 PECOS PAC ID: 7315390341 Enrollment ID: I20240125004651 |
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