| Weems Medical Center East | |
|
110 Ne 5th St Carrabelle FL 32322-3529 | |
| (850) 697-2345 | |
| (850) 697-2348 |
| Full Name | Weems Medical Center East |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Ne 5th St, Carrabelle, Florida |
| Authorized Official Name and Position | David Walker (CEO) |
| Authorized Official Contact | 8506538853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weems Medical Center East 135 Avenue G Apalachicola FL 32320-1613 Ph: (850) 653-8853 | Weems Medical Center East 110 Ne 5th St Carrabelle FL 32322-3529 Ph: (850) 697-2345 |
| NPI Number | 1033438627 |
|---|---|
| Provider Enumeration Date | 05/23/2010 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 3274541115 |
|---|---|
| Medicare Enrollment ID | O20110218000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033438627 | NPI | - | NPPES |
| 106362400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Patrick F.o Conrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205889524 PECOS PAC ID: 2567369630 Enrollment ID: I20031217000064 |
| Provider Name | Stanley F Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760485189 PECOS PAC ID: 2567473531 Enrollment ID: I20060505000693 |
| Provider Name | Dana O Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801838057 PECOS PAC ID: 7315942612 Enrollment ID: I20060920000144 |
| Provider Name | Roy F Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932269651 PECOS PAC ID: 1254516180 Enrollment ID: I20140430001314 |
| Provider Name | Jonathan E Fountain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356334049 PECOS PAC ID: 7416197371 Enrollment ID: I20150723006985 |
| Provider Name | Kristal J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447618764 PECOS PAC ID: 5991094211 Enrollment ID: I20160510000769 |
| Provider Name | Sussete S Valdueza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578922423 PECOS PAC ID: 8224316468 Enrollment ID: I20161024000624 |
| Provider Name | Amanda Pache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366064180 PECOS PAC ID: 7517380819 Enrollment ID: I20200706000117 |
| Provider Name | David Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477991230 PECOS PAC ID: 0345462917 Enrollment ID: I20201215002152 |
Phoenix Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1581 Highway 98 W, Carrabelle, FL 32322 Phone: 850-697-3420 Fax: 850-697-3423 | |
Bayline Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Hwy 98 East, Carrabelle, FL 32322 Phone: 850-697-5540 Fax: 850-697-2477 |