Colleen Mary Healy, M.D.

Individual provider Active NPI Cardiovascular Disease Physician · Longboat Key, FL

NPI 1699716472 · NPPES record last updated Oct 29, 2012

Key facts

NPI
1699716472
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
ME51094 (FL)
Practice address
5650 Gulf of Mexico Dr
Longboat Key, FL 34228-1906
Phone
(941) 383-7300
Fax
(941) 383-7335
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Cardiovascular Disease (Cardiology)
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5650 Gulf of Mexico Dr
Longboat Key, FL 34228-1906
Phone (941) 383-7300

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital · Sarasota, FL · CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100 (individual)

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 IDStateProvider typePAC IDDetails
I20100617000570 FL Practitioner - Cardiovascular Disease (Cardiology) 9638209687 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME51094FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longboat Cardiology PA Current
since Jul 1, 2001
Accepting new patients

Locations

5650 Gulf of Mexico Dr
Longboat Key, FL 34228
Phone (941) 383-7300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME51094 FL Yes

Addresses

Primary practice location

5650 Gulf of Mexico Dr
Longboat Key, FL 34228-1906

Mailing address

5650 Gulf of Mexico Dr
Longboat Key, FL 34228-1906
Phone (941) 383-7300

Other identifiers

IdentifierTypeStateIssuer
064203700MedicaidFL
01201OtherFLUNIVERSAL HEALTHCARE
10903OtherFLBC/BS FLORIDA
4281853OtherFLAETNA
4363736001OtherFLCIGNA

Other providers in Longboat Key, FL

All providers in Longboat Key, FL · Cardiovascular Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.