South Dade Primary Care, Llc - Medicare Primary Care in Palmetto Bay, FL

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South Dade Primary Care, Llc is a medicare enrolled primary clinic (Family Medicine) in Palmetto Bay, Florida. The current practice location for South Dade Primary Care, Llc is 9835 E Hibiscus St, Palmetto Bay, Florida. For appointments, you can reach them via phone at (305) 238-8561. The mailing address for South Dade Primary Care, Llc is 14750 Nw 77th Ct Ste 100, Miami Lakes, Florida and phone number is (786) 485-1005.

South Dade Primary Care, Llc is licensed to practice in Florida (license number ME0016658). The clinic also participates in the medicare program and its NPI number is 1285748285. 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 (305) 238-8561.

Contact Information

South Dade Primary Care, Llc
9835 E Hibiscus St
Palmetto Bay
FL 33157-5406
(305) 238-8561
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSouth Dade Primary Care, Llc
SpecialityFamily Medicine
Location9835 E Hibiscus St, Palmetto Bay, Florida
Authorized Official Name and PositionMark L Mullinix (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact7867583135
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Dade Primary Care, Llc
14750 Nw 77th Ct Ste 100
Miami Lakes
FL 33016-1507

Ph: (786) 485-1005		South Dade Primary Care, Llc
9835 E Hibiscus St
Palmetto Bay
FL 33157-5406

Ph: (305) 238-8561

NPI Details:

NPI Number1285748285
Provider Enumeration Date08/18/2006
Last Update Date11/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6002835360
Medicare Enrollment IDO20051116000041

Medical Identifiers

Medical identifiers for South Dade Primary Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285748285NPI-NPPES
005597OtherNEIGHBORHOOD HEALTH PARTN
15313OtherAETNA INSURANCE
01-02953OtherUNITED HEALTHCARE
79328OtherBLEU CROSS BLUE SHIELD FL
01-02956OtherUNITED HEALTHCARE
71520OtherBLUE CROSS BLUE SHIELD FL
15296OtherAETNA INSURANCE
4347956OtherAETNA INSURANCE
4497709OtherAETNA INSURANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME0016658 (Florida)Primary
207Q00000XFamily Medicine ME0027176 (Florida)Secondary
207Q00000XFamily Medicine ME0092409 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Dade Primary Care, Llc acts as a billing entity for following providers:
Provider NameScott Judd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821008582
PECOS PAC ID: 0648243550
Enrollment ID: I20040818000911
Provider NameSonali K Judd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609886373
PECOS PAC ID: 2466429584
Enrollment ID: I20040916000580
Provider NameAlison J Howard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366432957
PECOS PAC ID: 3577512888
Enrollment ID: I20050113000565
Provider NameMichael Cavanaugh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679525836
PECOS PAC ID: 0446280739
Enrollment ID: I20050816001085
Provider NameDana Portnoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669473013
PECOS PAC ID: 1153320171
Enrollment ID: I20061220000147
Provider NameDavid B Scholl
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1407994395
PECOS PAC ID: 1951498567
Enrollment ID: I20071030000117
Provider NameJohn T Mcadory
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104800283
PECOS PAC ID: 1951486026
Enrollment ID: I20080313000329
Provider NameRoy Forrest
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790863587
PECOS PAC ID: 6204800626
Enrollment ID: I20080917000521
Provider NameMichael Ehrenman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679522395
PECOS PAC ID: 8022173350
Enrollment ID: I20090219000445
Provider NameChristopher Dale Patterson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417947839
PECOS PAC ID: 8820198559
Enrollment ID: I20100823000833
Provider NameAlexandra Tracy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205118825
PECOS PAC ID: 8022280346
Enrollment ID: I20111011000213
Provider NameTodd K Rosenthal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760403307
PECOS PAC ID: 1658330907
Enrollment ID: I20120103000305
Provider NameJennifer Bruno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265787378
PECOS PAC ID: 4183863459
Enrollment ID: I20130617000621
Provider NameAmber M Arias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699184135
PECOS PAC ID: 5597089979
Enrollment ID: I20150112002012
Provider NameWiledade Augustin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164809257
PECOS PAC ID: 2466763297
Enrollment ID: I20150622000734
Provider NameDaisy Saavedra Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740545292
PECOS PAC ID: 8224341508
Enrollment ID: I20150715001281
Provider NameKristin Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548687676
PECOS PAC ID: 9133421787
Enrollment ID: I20160113002329
Provider NameGlenda Y Buyo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841467883
PECOS PAC ID: 0941367262
Enrollment ID: I20160201002720
Provider NameGlenn Michael Buyo
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1326157553
PECOS PAC ID: 1759387103
Enrollment ID: I20160201002847
Provider NameTymur Chepi-ipa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548623432
PECOS PAC ID: 7012206428
Enrollment ID: I20160525000012
Provider NameIvonne Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124479217
PECOS PAC ID: 2163701970
Enrollment ID: I20161118001952
Provider NameSusana Cardoso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770037202
PECOS PAC ID: 8820379316
Enrollment ID: I20161221000062
Provider NameCarmen Guanipa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669918678
PECOS PAC ID: 7618252198
Enrollment ID: I20170323002641
Provider NameOluwole Pitan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831548213
PECOS PAC ID: 9931477106
Enrollment ID: I20170612000828
Provider NameMiriam Guerra Otero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558729970
PECOS PAC ID: 6507127040
Enrollment ID: I20180226002323
Provider NameMartha Barzana-fernandez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184017782
PECOS PAC ID: 8426345521
Enrollment ID: I20180918000638
Provider NameMichel Granados-ruiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740754720
PECOS PAC ID: 6901235001
Enrollment ID: I20200409003516
Provider NameFernando Fuentes Eimil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669032751
PECOS PAC ID: 8527498534
Enrollment ID: I20200415000542
Provider NameDunia Pena Salgado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922562701
PECOS PAC ID: 9234561945
Enrollment ID: I20200619002228
Provider NameLaurie A Canasi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760004303
PECOS PAC ID: 3779907373
Enrollment ID: I20200715002234
Provider NameHikma Jemal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295267938
PECOS PAC ID: 3577838531
Enrollment ID: I20201012001086
Provider NameSteven Michael Barker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720689821
PECOS PAC ID: 2567879349
Enrollment ID: I20210323000603
Provider NameVerushcka G Pagliari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962810689
PECOS PAC ID: 5294051686
Enrollment ID: I20210824002650
Provider NameLazara Medina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053916163
PECOS PAC ID: 2961892385
Enrollment ID: I20211129001848
Provider NameKaren K Wies
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609893270
PECOS PAC ID: 1951353523
Enrollment ID: I20211222000969
Provider NameRomel A. Arjona
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386730802
PECOS PAC ID: 9638215601
Enrollment ID: I20220801001905
Provider NameNympha Charles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215579404
PECOS PAC ID: 6103218136
Enrollment ID: I20220802003586
Provider NameDawn Crowley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699371799
PECOS PAC ID: 7517334790
Enrollment ID: I20221031002764

Reviews and Comments


Family Medicine in Palmetto Bay, FL

Regions Praxis Care Corp
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 9299 Sw 152nd St Ste 200n, Palmetto Bay, FL 33157
Phone: 786-634-1952    Fax: 786-565-3940
Nova Community Services Corp
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9867 Sw 184th St, Palmetto Bay, FL 33157
Phone: 786-732-2287    Fax: 786-732-2288
Tmm Consulting Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9780 E Indigo St Ste 202, Palmetto Bay, FL 33157
Phone: 305-252-9485    Fax: 305-252-9485
Jmg Specialty Physicians
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9333 Sw 152nd St, Palmetto Bay, FL 33157
Phone: 305-251-2500    
Amedica Medical Group South
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 18140 Franjo Rd, Palmetto Bay, FL 33157
Phone: 305-972-3590    
Lam A, Au, M.d., Ph.d., P.a.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 9275 Sw 152nd St, Suite 108a, Palmetto Bay, FL 33157
Phone: 305-255-2505    
Hugh J Connolly Md Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 9000 Sw 152nd St, Suite 107, Palmetto Bay, FL 33157
Phone: 305-251-3434    Fax: 305-971-6393

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.