Jill Pernigotti Adera, D.O
Individual provider Active NPI Family Medicine Physician · Inverness, FL
NPI 1821186339 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1821186339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS9138 (FL)
- Practice address
- 227 Ella Ave
Inverness, FL 34450-3911 - Phone
- (352) 341-2800
- Fax
- (352) 341-2900
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070517000738 | FL | Practitioner - Family Practice | 4880791326 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9138 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adera & Adera PA | Family Medicine | Current |
Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Past | Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients |
Locations
227 Ella Ave
Inverness, FL 34450
Phone (352) 341-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS9138 | FL | Yes |
Addresses
Primary practice location
227 Ella Ave
Inverness, FL 34450-3911
Mailing address
PO Box 2532
Inverness, FL 34451-2532
Phone (352) 341-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273658600 | Medicaid | FL | |
| 52152 | Other | FL | BCBS |
| 1821186339 | Other | FL | NPI |
| 372203 | Other | FL | HE INV |
| 21252405225 | Other | FL | BEECH STREET |
| 372203 | Other | FL | HE LEC |
| 373178 | Other | FL | HE CR |
| 5935028431021 | Other | FL | TRICARE |
Other providers in Inverness, FL
- Achievement Rehabilitation Through Therapeutic Intervention, Inc.
- Active Life Rehab Inc.
- Joseph Adelufosi Jr.
- Adera & Adera PA
- Habtu Megenta Adera
- Adoption 2 Action Inc
- Advanced Urology Institute, LLC
- Advanced Urology Institute, LLC
- James Robert Aemisegger
- Mohammed Saad Ahmed
All providers in Inverness, FL · Family Medicine Physician 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.