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ST COUNTYLIC NBRFILE NBRST ADDRESSST CITYST ZIPPROVIDER PHONE NBRPROGRAM TYPEPROGRAM EFFECTIVE ALACHUA4247100204NORTH FLORIDA REGIONAL MEDICAL 6500 NEWBERRY RDGAINESVILLE32605352 3334000Comprehensive. TAXONOMY INFORMATION B OTHER PROVIDER IDENTIFIERS WWWHIPAASPACECOM Information provided in the current document is obtained from official source and accuracy of the information provided is the sole responsibility of the healthcare provide All change TAXONOMY INFORMATION B OTHER PROVIDER IDENTIFIERS WWWHIPAASPACECOM Information provided in the current document is obtained from official source and accuracy of the information provided is the sole responsibility of the healthcare provide All change JOHNSON BABIES CANT WAIT Organization Gender Enumeration Date Last Update Date Deactivation Reason Code Deactivation Date Reactivation Date Employer Identification Number EIN 05022014 05022014 SECTION 2 CONTACT INFORMATION Business Mailing Address TAXONOMY INFORMATION B OTHER PROVIDER IDENTIFIERS WWWHIPAASPACECOM Information provided in the current document is obtained from official source and accuracy of the information provided is the sole responsibility of the healthcare provide All change BIZZARO PAUL M DC Individual Gender Enumeration Date Last Update Date Deactivation Reason Code Deactivation Date Reactivation Date Employer Identification Number EIN Male 05232006 01162013 SECTION 2 CONTACT INFORMATION Business Mailing Address 81 S BLEAKLY NICOLE TERESA MD Individual Gender Enumeration Date Last Update Date Deactivation Reason Code Deactivation Date Reactivation Date Employer Identification Number EIN Female 06122008 09112014 SECTION 2 CONTACT INFORMATION Business Mailing Add Session 5. April 12, 2010. Agenda. Provider Directory overview. Definition and value proposition. Data sources. IE WG recommendations and use cases. Provider directory requirements. Certificates. Panelists. May 12, 2016. Peer Recognition. Reggina Yandila, D.O.. Provider Engagement/Service Excellence Champion. Comments:. “We . wish there were two of her. .”. “She . is very dependable and works very . Medicaid and NCHC Providers. 2. Purpose and Agenda. Purpose. To provide answers and clarification regarding OPR and CCNC/CA billing guidance for Medicaid and NCHC services. Agenda. Outline of Changes. Transparency in Provider Monitoring Developed by the NC DHHS-LME/MCO-Provider Collaboration Workgroup February 2014 Revised 3-4-14 Presented by Mary T. Tripp Policy Unit Leader DHHS-DMH/DD/SAS Accountability 1 Customer Service One to Another Developed by the NC DHHS-LME/MCO-Provider Collaboration Workgroup February 2014 Revised 3-4-14 Presented by: Margaret Mason COO, HomeCare Management Corporation 3RESPIRATORYSSCERTIFYTHATI HAVE PROVIDED THE SERVICES REPORTED ON THIS FORMPROVIDER SIGNATUREDATEATTENDING PHYSICIAN SIGNATUREREQUIRED IN ALLCASESDATEOTHER THAN ATTENDING PHYSICIANS SIGNATUREMISSOURI Attention: Please Read Before Completing Paperwork FAX: EMAIL : 803 - 382 - 2416 * RREDI.ENROLL@PalmettoGBA.com *Please ensure you enter area code when dialing our fax number.EDI Application Form A R Three Uniques. 2. High-Touch. We go above and beyond to provide personalized, engaging, and responsive services to our members.. High Value . We work hard to offer affordable health insurance coverage with the benefits people truly want and need. .