Robert B Deem, M.D.
Individual provider Active NPI Family Medicine Physician · Monticello, FL
NPI 1619972387 · NPPES record last updated Apr 30, 2015
Key facts
- NPI
- 1619972387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME0096771 (FL)
- Practice address
- 1549 S Jefferson
Monticello, FL 32344-1651 - Phone
- (850) 997-0707
- Fax
- (850) 997-6833
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Memorial Healthcare Inc
Practice addresses (Care Compare)
1549 S Jefferson St
Monticello, FL 32344-1651
Phone (850) 997-0707
Hospital & facility affiliations
- Centerwell Home Health
- NHC Homecare
- Enhabit Home Health
- Tallahassee Memorial Healthcare
- Madison County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070312000542 | FL | Practitioner - Family Practice | 9830140540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0096771 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Family Medicine | Current |
Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Family Medicine | Current |
Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients |
Locations
1549 S Jefferson St
Monticello, FL 32344
Phone (850) 997-0707
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
Interoperability endpoints
- briandeem@tmhpp.allscriptsdirect.net
- rdeem21415@tallahasseememorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0096771 | FL | Yes |
Addresses
Primary practice location
1549 S Jefferson
Monticello, FL 32344-1651
Mailing address
1549 S Jefferson
Monticello, FL 32344-1651
Phone (850) 997-0707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-3409 | Other | FL | RURAL MEDICARE GROUP # |
| 276370200 | Medicaid | FL | |
| 56525 | Other | FL | BLUE CROSS BLUE SHIELD |
| 660037901 | Other | FL | RURAL MEDICAID |
Other providers in Monticello, FL
- Judith Crocker Corbin
- County of Jefferson Office of Clerk Circuit Court
- Covington Legacy Incorporated
- Charles L. Crocker
- Cross Landings
- Delta Health Group Inc
- Cashanda Dennis
- Doh
- Doh
- Dorn Medical Associates PA
All providers in Monticello, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.