| 1st Medical Network |
PPO |
4/12/08 |
| Aetna, Inc. |
All Products, including Aetna Golden Medicare, Aetna Golden Choice Medicare |
4/12/08 |
| Americhoice (United Healthcare) |
Medicaid |
5/1/08 |
| AvMed |
All Products |
6/1/08 |
| Beech Street |
PPO |
4/12/08 |
| Blue Cross Blue Shield of FL |
HOJ, Blue Options, PPC, PHS, Advantage 65, W/C, |
7/15/08 |
| Cigna |
All Products |
4/12/08 |
| Community Hospice of NE FL |
Hospice |
2/1/09 |
| Glynn-Brunswick |
Direct |
6/1/08 |
| Great-West Healthcare |
PPO |
4/12/08 |
| Haven Hospice |
Hospice - Inpatient and Outpatient |
6/1/09 |
| Heartland Hospice |
Hospice - Inpatient Only |
2/1/09 |
| Humana Employees Only |
Employees only |
4/12/08 |
| Humana |
All products, including Medicare Advantage HMO & PPO |
6/15/08 |
| First Health / Southcare |
PPO |
5/1/08 |
| FL Health Alliance |
PPO |
4/12/08 |
| Multiplan |
PPO |
4/12/08 |
| PHCS |
PPO |
4/12/08 |
| Tricare |
Standard |
5/6/08 |
| United Healthcare |
All Products, including Secure Horizons & Evercare |
4/12/08 |
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| Medicare |
Traditional |
|
| Medicaid |
Traditional |
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| MISC Information |
|
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| Medicaid HMO Products |
ER Only / No Elective Admissions |
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| Medicare HMO Products |
ER Only / No Elective Admissions |
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| Other Important Information |
|
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| Medicare Number: |
10-0307 |
|
| NPI# |
139 69 26 747 |
|
| Tax ID# |
26-0479484 |
|
