| The Council On Aging Of Martin County Inc | |
|
900 Se Salerno Rd Stuart FL 34997-6405 | |
| (772) 223-7803 | |
| (772) 463-0091 |
| Full Name | The Council On Aging Of Martin County Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Se Salerno Rd, Stuart, Florida |
| Authorized Official Name and Position | Kenneth Kaneski (DIRECTO OF FINANCE) |
| Authorized Official Contact | 7722237803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Council On Aging Of Martin County Inc 900 Se Salerno Rd Stuart FL 34997-6405 Ph: (772) 223-7803 | The Council On Aging Of Martin County Inc 900 Se Salerno Rd Stuart FL 34997-6405 Ph: (772) 223-7803 |
| NPI Number | 1770855405 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 07/11/2012 |
| Medicare PECOS PAC ID | 0648334953 |
|---|---|
| Medicare Enrollment ID | O20120713000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770855405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert E Kenney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699812024 PECOS PAC ID: 0244206381 Enrollment ID: I20040909000384 |
| Provider Name | Joshua Trabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700065190 PECOS PAC ID: 7113092636 Enrollment ID: I20080819000229 |
| Provider Name | Carrie R Mccreary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063416865 PECOS PAC ID: 4880608207 Enrollment ID: I20131009002206 |
| Provider Name | Katlyn T Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326472788 PECOS PAC ID: 8921326851 Enrollment ID: I20150406000625 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20150724011646 |
| Provider Name | Danae Clark Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612534 PECOS PAC ID: 6204120256 Enrollment ID: I20160815000042 |
| Provider Name | Lindsay R Serey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639537558 PECOS PAC ID: 3375838964 Enrollment ID: I20160822001038 |
| Provider Name | Mildred R Sabo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225001126 PECOS PAC ID: 7911942818 Enrollment ID: I20170928000074 |
| Provider Name | Barbara Beausejour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538651435 PECOS PAC ID: 2163772369 Enrollment ID: I20180910002361 |
| Provider Name | Melissa Ann Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619348125 PECOS PAC ID: 4183050982 Enrollment ID: I20200213002074 |
| Provider Name | Meredith Cronenwett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427543685 PECOS PAC ID: 7012255060 Enrollment ID: I20200826000752 |
| Provider Name | Johanna Job |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891301396 PECOS PAC ID: 5597174102 Enrollment ID: I20210512001097 |
| Provider Name | Kelley A Pekarsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942634910 PECOS PAC ID: 8123259942 Enrollment ID: I20240530000044 |
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