Active NPI
Filemon R Patacxil, M.D.
- Family Medicine Physician
- Tallahassee, FL
National Provider Identifier
1659363018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME60386
- Practice address
- 1706 Riggins Rd
Tallahassee, FL 32308-5318 - Phone
- (850) 878-4823
- Fax
- (850) 878-4893
- NPI assigned
- Aug 21, 2005
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME60386 | FL | Primary |
Addresses
Primary practice location
1706 Riggins Rd
Tallahassee, FL 32308-5318
Mailing address
1706 Riggins Rd
Tallahassee, FL 32308-5318
Phone (850) 878-4823
Other practice location 1
248 NE Hancock Ave
Madison, FL 32340-2560
Phone (850) 973-9980
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054950900 | Medicaid | FL | |
| 066490 | Other | FL | VISTA HEALTH PLAN |
| 080180490 | Other | FL | MEDICARE RAILROAD CARRIER |
Other names 1
- Dr. Filemon R Patacsil
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MP
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME60386 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saipan, MP
- NPI 1285858290
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1215117312
-
- General Acute Care Hospital
- Saipan, MP
- NPI 1871616292
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659363018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 RIGGINS RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085318",
"telephone_number": "850-878-4823",
"fax_number": "850-878-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 RIGGINS RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085318",
"telephone_number": "850-878-4823",
"fax_number": "850-878-4893"
}
],
"practiceLocations": [
{
"address_1": "248 NE Hancock Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "FL",
"postal_code": "323402560",
"country_code": "US",
"telephone_number": "850-973-9980",
"fax_number": "850-973-9988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATACXIL",
"first_name": "FILEMON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME60386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054950900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA HEALTH PLAN",
"identifier": "066490",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD CARRIER",
"identifier": "080180490",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FILEMON",
"last_name": "PATACSIL",
"middle_name": "R",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.