Ethos Health Lakeland, Llc - Medicare Primary Care in Lakeland, FL

Ethos Health Lakeland, Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Lakeland, Florida. The current practice location for Ethos Health Lakeland, Llc is 625 Commerce Dr Ste 104, Lakeland, Florida. For appointments, you can reach them via phone at (352) 732-5590. The mailing address for Ethos Health Lakeland, Llc is 1541 Se 17th St, Ocala, Florida and phone number is (352) 732-5590.

Ethos Health Lakeland, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013409598. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (352) 732-5590.

Contact Information

Ethos Health Lakeland, Llc
625 Commerce Dr Ste 104
Lakeland
FL 33813-2733
(352) 732-5590
(352) 732-0292

Primary Care Clinic Profile

Full NameEthos Health Lakeland, Llc
SpecialityClinic/Center
Location625 Commerce Dr Ste 104, Lakeland, Florida
Authorized Official Name and PositionJonathan Walker (OWNER/OPERATOR)
Authorized Official Contact3527325590
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethos Health Lakeland, Llc
1541 Se 17th St
Ocala
FL 34471-4607

Ph: (352) 732-5590
Ethos Health Lakeland, Llc
625 Commerce Dr Ste 104
Lakeland
FL 33813-2733

Ph: (352) 732-5590

NPI Details:

NPI Number1013409598
Provider Enumeration Date05/31/2018
Last Update Date10/13/2021

Medicare PECOS Information:

Medicare PECOS PAC ID1153720750
Medicare Enrollment IDO20210602001643

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Medical Identifiers

Medical identifiers for Ethos Health Lakeland, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013409598NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ethos Health Lakeland, Llc acts as a billing entity for following providers:
Provider NameJonathan Ray Walker
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1801092218
PECOS PAC ID: 2062576705
Enrollment ID: I20090205000205

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Provider NameJustine Alexis Nierras
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164870978
PECOS PAC ID: 8628321486
Enrollment ID: I20181024000430

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Provider NameWinona L Werts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821501982
PECOS PAC ID: 2062766421
Enrollment ID: I20181121001798

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Provider NameMatthew Shanklin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588146443
PECOS PAC ID: 5294070728
Enrollment ID: I20190102001939

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Provider NameHeather Watford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255805230
PECOS PAC ID: 7810327251
Enrollment ID: I20200424002871

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Provider NameKyle Jonathon Chacon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457839359
PECOS PAC ID: 4183021884
Enrollment ID: I20220225002467

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Provider NameNicole Bozzini
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770226342
PECOS PAC ID: 8921483421
Enrollment ID: I20220920001929

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Clinic/Center in Lakeland, FL

Adult Primary Care Of Polk County
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4740 Exploration Ave, Lakeland, FL 33812
Phone: 863-666-9020    Fax: 863-606-0887
Verimed Health Group Lakeland Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1417 Lakeland Hills Blvd, Suite 204, Lakeland, FL 33805
Phone: 813-415-5038    
Premier Walk In Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5676 S Florida Ave, Lakeland, FL 33813
Phone: 863-644-3400    Fax: 863-619-2400
Central Florida Health Care Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 903 Lowry Ave, Lakeland, FL 33801
Phone: 866-234-8534    
Bond Clinic Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2039 E Edgewood Dr, Lakeland, FL 33803
Phone: 863-293-1191    
Lake Miriam Campus
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4710 S Florida Ave, Lakeland, FL 33813
Phone: 863-284-6800    Fax: 863-284-6807

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