| Tallahassee Memorial Healthcare Inc | |
|
1549 S Jefferson St Monticello FL 32344-1651 | |
| (850) 997-0707 | |
| (850) 997-6833 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1549 S Jefferson St, Monticello, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Memorial Healthcare Inc 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tallahassee Memorial Healthcare Inc 1549 S Jefferson St Monticello FL 32344-1651 Ph: (850) 997-0707 |
| NPI Number | 1649229402 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20070516000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649229402 | NPI | - | NPPES |
| 660037901 | Medicaid | FL | |
| 24766E | Other | FL | BCBS GROUP NUMBER |
| 375270408 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
| Provider Name | Robert Brian Deem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619972387 PECOS PAC ID: 9830140540 Enrollment ID: I20070312000542 |
| Provider Name | Melissa Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609907914 PECOS PAC ID: 2264537760 Enrollment ID: I20070411000342 |
| Provider Name | Gerald Skipper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275507170 PECOS PAC ID: 5294817409 Enrollment ID: I20080128000173 |
| Provider Name | Wesley D Scoles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770549545 PECOS PAC ID: 5991821829 Enrollment ID: I20100928000855 |
| Provider Name | Leah Varieur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508291766 PECOS PAC ID: 0941435184 Enrollment ID: I20131024001273 |
| Provider Name | Laura Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982042735 PECOS PAC ID: 4385937341 Enrollment ID: I20160728000385 |
| Provider Name | Amanda L Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063121689 PECOS PAC ID: 8527439330 Enrollment ID: I20230113000567 |
Gerry Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 N Jefferson St, Monticello, FL 32344 Phone: 850-997-2511 Fax: 850-997-3022 | |
Little Pine Pediatrics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Mulberry St, Monticello, FL 32344 Phone: 850-997-7337 Fax: 850-997-7338 | |
Dorn Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 193 Nursery Rd, Monticello, FL 32344 Phone: 850-544-5325 Fax: 850-386-9161 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1549 S Jefferson St, Monticello, FL 32344 Phone: 850-997-0707 |