Staccie Anne Allen
SUWANNEE EMERGENCY GROUP LLC


Address: 1100 11th St Sw, Live Oak, FL 32064-3608
Phone: 38636208003608

Staccie Anne Allen (NPI# 1770998890, PAC ID# 5395962013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1770998890
PAC ID by PECOS 5395962013
Professional Enrollment ID I20140804001418
Full Name Staccie Anne Allen
Organization Legal Name SUWANNEE EMERGENCY GROUP LLC
Address 1100 11th St Sw
Live Oak
FL 32064-3608
Phone Number 38636208003608
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1850675612
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
101303 LAKE BUTLER HOSPITAL

Other Locations

Address Phone Organization
850 E Main St, Lake Butler Hospital, Lake Butler, FL 32054-1353 3864962323 MEDLINK MANAGEMENT SERVICES INC
1100 11th St Sw, Live Oak, FL 32064-3608 38636208003608 SUWANNEE EMERGENCY GROUP LLC

Organization Information

Organization Legal Name SUWANNEE EMERGENCY GROUP LLC
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
William C Chisholm Emergency Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Babak Saadatmand Emergency Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Ryan Hillman Reynolds Nurse Practitioner Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Ricardo Arsenio Revilla Family Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Mahendra R Sheth Vascular Surgery Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Matthew Odom Emergency Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Garrett H Chumney Family Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
David R Carter Emergency Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608

Office Location

Street Address 1100 11TH ST SW
City LIVE OAK
State FL
Zip 32064-3608

Physicians in the same location

Name Specialty Organization Address
David G Riehn Anesthesiology Ams National LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Margaret M Grissinger Certified Registered Nurse Anesthetist (crna) Ams National LLC 1100 11th St Sw, Live Oak, FL 32064-3608
William C Chisholm Emergency Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Babak Saadatmand Emergency Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
J Michael Powers Anesthesiology Ams National LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Ryan Hillman Reynolds Nurse Practitioner Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Ricardo Arsenio Revilla Family Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Mahendra R Sheth Vascular Surgery Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Leona E Westbrook Chilcott Certified Registered Nurse Anesthetist (crna) Ams National LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Willy Crna Van Gent Jr. Certified Registered Nurse Anesthetist (crna) Ams National LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
John A Workman Chiropractic 216 Duval St Nw, Live Oak, FL 32064-1723
Andrew Clyde Bass General Practice 315 Scriven Ave Sw, Live Oak, FL 32064-2222
Bruce C Ornstein Podiatry 609 5th St Sw, Suite 4, Live Oak, FL 32064-2239
Michael W Wood Chiropractic 328 Howard St W, Live Oak, FL 32064-2306
Michelle D Morris Nurse Practitioner Live Oak Hma Medical Group, LLC 1116 Sw 11th St, Live Oak, FL 32064-3608
Gabriel B Mufuka Internal Medicine 1116 11th St Sw, Live Oak, FL 32064-3608
Daniel J Messcher Family Medicine Live Oak Hma Medical Group, LLC 1100 Sw 11th St, Live Oak, FL 32064-3608
Dennis M Lewis General Surgery Live Oak Hma Medical Group, LLC 1100 Sw 11th St, Live Oak, FL 32064-3608
Callie A Smith Nurse Practitioner Live Oak Hma Medical Group, LLC 1100 Sw 11th St, Live Oak, FL 32064-3608
Matthew Odom Emergency Medicine Suwannee Emergency Group LLC 1100 11th St Sw, Live Oak, FL 32064-3608
Find all physicians in zip 32064

Competitor

Search similar physicians

City LIVE OAK
Zip Code 32064
Specialty NURSE PRACTITIONER
City + Specialty LIVE OAK + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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