Meadowcrest Family Physicians, P.A.
NPI 1396981528ActiveOrganization· Family Medicine· Crystal River, FL
Family Medicine in Crystal River, Florida, registered in NPPES in December 2008. The authorized official on file is Jimmy C. Dickert, D.O., President/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396981528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2008 |
| Last updated in NPPES | Oct 23, 2024 |
| Certified by provider | Oct 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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