| Tmh Physician Partners, Bradfordville | |
|
6721 Thomasville Rd Suite 4 Tallahassee FL 32312-4875 | |
| (850) 431-9000 | |
| (850) 431-9001 |
| Full Name | Tmh Physician Partners, Bradfordville |
|---|---|
| Speciality | Clinic/Center |
| Location | 6721 Thomasville Rd, Tallahassee, 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 |
|---|---|
| Tmh Physician Partners, Bradfordville 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tmh Physician Partners, Bradfordville 6721 Thomasville Rd Suite 4 Tallahassee FL 32312-4875 Ph: (850) 431-9000 |
| NPI Number | 1528410172 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20161102000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528410172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4080 (Florida) | Primary |
| Provider Name | Rebecca Edwards Easterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851329692 PECOS PAC ID: 5597808006 Enrollment ID: I20100205000509 |
| Provider Name | Ashley L Janney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669413290 PECOS PAC ID: 3870636236 Enrollment ID: I20100208000005 |
| Provider Name | Karen-faye Denise Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760973358 PECOS PAC ID: 3274871728 Enrollment ID: I20190208001490 |
| Provider Name | Brittany Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336631787 PECOS PAC ID: 1850629957 Enrollment ID: I20210911000181 |
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