Andrea Joyce Hackel, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME0067737 Issued in FL

Practice address

2120 E Johnson Ave
West Florida Internal Medicine, LLC
Pensacola, FL 32514-6028

Phone

(850) 494-4885

Fax

(850) 494-4910

NPI assigned

Dec 13, 2005

Last updated

Sep 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Escambia Medical Investors, LLC

  dba Life Care Center of Pensacola

  • Skilled Nursing Facility
  • Pensacola, FL
  • NPI 1700828365

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Physician Services Group of Florida, LLC

  • Family Medicine Physician
  • Gulf Breeze, FL
  • NPI 1235775396
  Medicare reassignment NPD
• Psgfl MSSP, LLC

  • Multi-Specialty Clinic/Center
  • Gulf Breeze, FL
  • NPI 1689557936
  Medicare reassignment NPD (past)
• West Florida Regional Medical Center

  dba Memory Disorder Clinic

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1174578579
  NPD (past)
• West Florida Regional Medical Center Inc

  dba West Florida Hospital Physician Services

  • Specialist
  • Pensacola, FL
  • NPI 1760439319
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1750366779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE",
            "address_2": "WEST FLORIDA PHYSICIAN SERVICES",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146028",
            "telephone_number": "850-494-5403",
            "fax_number": "850-494-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE",
            "address_2": "WEST FLORIDA INTERNAL MEDICINE, LLC",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146028",
            "telephone_number": "850-494-4885",
            "fax_number": "850-494-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKEL",
        "first_name": "ANDREA",
        "middle_name": "JOYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0067737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSFL",
            "identifier": "26716",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37719800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "542112",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Guy, APRN
• Joshua Robert Guynn, MSN, FNP-BC
• Paige Caroline Gwynn, DO
• Stephen Bowen Haas, DC
• Bola F Habeb, MD
• Richard Albert Hackim, MD
• Olivia Hadaway, DPT
• Kaila Hadden, APRN
• Allen Houston Haddock, CRNA
• Allyanna Haddock

• Geriatric Medicine (Internal Medicine) Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.