Individual provider Active NPI

Babette M Pachence, MD

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1417034810
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109083 Issued in FL
Practice address
2424 Manatee Ave W Ste 100
Bradenton, FL 34205-4954
Phone
(941) 847-7920
Fax
(941) 757-2291
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA43525 NJ
Internal Medicine Physician 207R00000X ME109083 FL Primary

Addresses

Primary practice location

2424 Manatee Ave W Ste 100
Bradenton, FL 34205-4954

Mailing address

10051 5TH St N Ste 200
Saint Petersburg, FL 33702-2211
Phone (727) 824-0780

Other identifiers 1

IdentifierTypeStateIssuer
9417572291MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000138 FL Practitioner - Internal Medicine 3375645187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME109083FLMDInternal Medicine Physician
MA43525NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince May 7, 2021 Accepting new patients
MCR Health, Inc. CurrentSince May 7, 2021 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Saint Peter'S University Hospital Past Accepting new patients
Head & Neck Oncology Group of Central Jersey Past Accepting new patients

Locations

701 Manatee Ave W
Ste 101
Bradenton, FL 34205
Phone (941) 748-3065

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1417034810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N STE 200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "727-824-0780",
            "fax_number": "727-568-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MANATEE AVE W STE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054954",
            "telephone_number": "941-847-7920",
            "fax_number": "941-757-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHENCE",
        "first_name": "BABETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA43525",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9417572291",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.