Margaret I Andem, ARNP, LCSW
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Marianna, FL
NPI 1679670533 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1679670533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- ARNP9308448 (FL)
- Practice address
- 4396 Lafayette St
Suite 209
Marianna, FL 32446-3356 - Phone
- (850) 573-2233
- Fax
- (850) 482-2079
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4396 Lafayette St
Suite 209
Marianna, FL 32446-7700
Phone (850) 573-2233
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140313001257 | FL | Practitioner - Nurse Practitioner | 7113928292 |
Reassigns benefits to 1 organization Practice locations: Marianna, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Center, Inc | Current |
Accepting new patients | |
| Bridgeway Center Inc | Current |
Accepting new patients | |
| Florida Therapy Services, Inc | Past |
Accepting new patients | |
| Hialeah M R I Inc | Past | Accepting new patients |
Locations
299 W Railroad Ave
Crestview, FL 32536
Phone (850) 689-7810
137 Hospital Dr NE
Ft Walton Bch, FL 32548
Phone (850) 226-8857
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9308448 | FL | Yes |
Addresses
Primary practice location
4396 Lafayette St
Suite 209
Marianna, FL 32446-3356
Mailing address
PO Box 844
Marianna, FL 32447-0844
Phone (850) 573-2233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0M3Z | Other | FL | BLUE CROSS BLUE SHIELD |
| 010527600 | Medicaid | FL | |
| 7679670 00 | Medicaid | FL | |
| 592 01021 | Other | AL | BCBS ALABAMA |
Other providers in Marianna, FL
- Allie Sarah Alford
- Charlotte Allen
- Syntha Alvarez
- Efiong Okon Andem
- Emma Ime Andem
- Angelic Services of Northwest Florida, LLC
- Charles G. Aponte
- Array Mental Health Counseling Services
- Julie Arroyo
- Nikorn Arunakul
All providers in Marianna, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.