Vincent M Ivers | |
301 20th St Port St Joe FL 32456-3301 | |
(850) 227-7070 | |
(850) 227-1989 |
Full Name | Vincent M Ivers |
---|---|
Speciality | Internal Medicine |
Location | 301 20th St, Port St Joe, Florida |
Authorized Official Name and Position | Vincent M Ivers (PRESIDENT) |
Authorized Official Contact | 8502277070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vincent M Ivers 8401 Tradewinds Dr Port St Joe FL 32456-6157 Ph: (850) 478-1312 | Vincent M Ivers 301 20th St Port St Joe FL 32456-3301 Ph: (850) 227-7070 |
NPI Number | 1619085354 |
---|---|
Provider Enumeration Date | 08/25/2006 |
Last Update Date | 06/17/2019 |
Medicare PECOS PAC ID | 1153345715 |
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Medicare Enrollment ID | O20060123000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619085354 | NPI | - | NPPES |
26155 | Other | FL | BCBS OF FLORIDA |
376567900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME65165 (Florida) | Primary |
Provider Name | Vincent M Ivers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851366702 PECOS PAC ID: 9638109309 Enrollment ID: I20051003000802 |
Provider Name | Monica M Barfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225538390 PECOS PAC ID: 8123381001 Enrollment ID: I20190916002162 |
Salt And Ivy Gulf Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Good Morning St Ste 109b, Port St Joe, FL 32456 Phone: 850-357-8192 Fax: 850-659-9565 | |
Shoreline Medical Group, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Baltzell Ave, Port St Joe, FL 32456 Phone: 850-229-8010 Fax: 850-227-3177 | |
New Horizon Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Ascension Sacred Heart Gulf Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3871 E Highway 98 Ste 203, Port St Joe, FL 32456 Phone: 850-229-5601 Fax: 850-229-5696 | |
Down Time Hyperbarics And Emergency Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6428 W Highway 98, Port St Joe, FL 32456 Phone: 330-773-3544 Fax: 330-773-3698 | |
Ascension Medical Group Sacred Heart Gulf Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 Phone: 850-229-3710 Fax: 850-229-3712 |