Active NPI
Jeffrey Lin, D.O.
- Infectious Disease Physician
- Fort Walton Beach, FL
National Provider Identifier
1639622665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- OS17605
- Practice address
- 917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651 - Phone
- (850) 862-3979
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | OS17605 | FL | Primary |
Addresses
Primary practice location
917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Mailing address
917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Phone (850) 862-3979
Other practice location 1
2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8177
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Philadelphia College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Phone (850) 862-3979
Hospital & facility affiliations
- Centerwell Home Health
- Gentiva I
- HCA Florida Twin Cities Hospital
- HCA Florida Fort Walton-Destin Hospital
- North Okaloosa Medical Center
- Baptist Hospital
- Gulf Breeze Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 770 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17605 | FL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Coast Infectious Diseases Medical Group, P.a. | Infectious Disease | Current | Accepting new patients |
| Emerald Coast Infectious Diseases Medical Group, PA | Current | Accepting new patients |
Locations
917 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3979
Interoperability endpoints
- jlin24671@ukhcdirect.org
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Fort Walton Beach, FL
- NPI 1720017882
-
- Community/Retail Pharmacy
- Fort Walton Beach, FL
- NPI 1154773950
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
-
- Community Based Hospice Care Agency
- Pensacola, FL
- NPI 1730326828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714867200000",
"number": "1639622665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476651",
"telephone_number": "850-862-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476651",
"telephone_number": "850-862-3979"
}
],
"practiceLocations": [
{
"address_1": "2000 Eoff St",
"address_purpose": "LOCATION",
"city": "Wheeling",
"state": "WV",
"postal_code": "260033823",
"country_code": "US",
"telephone_number": "304-234-8177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "JEFFREY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2024-05-05",
"certification_date": "2024-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "OS17605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.