Optum Infusion Services 204, Inc is a medical equipment supplier participated in Medicare, by U.S Centers for Medicare & Medicaid Services (CMS). The Provider Transaction Access Number (PTAN) is #4680040002. The address is 201 N Tarragona St, Pensacola, FL 32502-4843.
| Provider Transaction Access Number (PTAN) | 4680040002 |
| Practice Name | OPTUM INFUSION SERVICES 204 INC |
| Business Name | OPTUM INFUSION SERVICES 204, INC |
| Address |
201 N Tarragona St Pensacola FL 32502-4843 |
| Telephone | 8504301259 |
| Participation Begin Date | 2021-05-06 |
| Specialities List |
Certified Other Pharmacy |
| Supplies List |
Immunosuppressive Drugs Infusion Drugs External Infusion Pumps and/or Supplies Implanted Infusion Pumps and/or Supplies Enteral Nutrients Enteral Equipment and/or Supplies Parenteral Nutrients Parenteral Equipment and/or Supplies Surgical Dressings |
| Accepts Assignement | True |
| Contracted for Competitive Bidding Area (CBA) | False |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Optum Infusion Services 204, Inc · Optum Infusion Services 204 Inc | 8509 Benjamin Rd, Ste A, Tampa, FL 33634-1224 | 8138865866 | 2021-05-06 |
| Optum Infusion Services 204, Inc · Optum Infusion Services 204 Inc | 4220 Executive Cir, Ste 62, Fort Myers, FL 33916-8005 | 2395612388 | 2021-05-06 |
| Street Address |
201 N TARRAGONA ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502-4843 |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| John Imm Prosthetics, LLC · John Imm Prosthetics LLC | 3 W Garden St, Ste 404, Pensacola, FL 32502-5633 | 8503808184 | 2011-07-28 |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| John Imm Prosthetics, LLC · John Imm Prosthetics LLC | 3 W Garden St, Ste 404, Pensacola, FL 32502-5633 | 8503808184 | 2011-07-28 |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Holiday Cvs LLC · Cvs Pharmacy #05180 | 6025 Mobile Hwy, Pensacola, FL 32526-1234 | 8504589818 | 2019-01-01 |
| Walgreen Co · Walgreens #9917 | 5995 Mobile Hwy, Pensacola, FL 32526-1833 | 8504540254 | 2020-03-01 |
| Walgreen Co · Walgreens #1222 | 20 W Nine Mile Rd, Pensacola, FL 32534-1263 | 8504792354 | 2020-03-01 |
| Coram Alternate Site Services Inc · Coram Specialty Infusion Services | 3439 North 12th Avenue, Ste A&B, Pensacola, FL 32503-4008 | 8504694573 | 2021-01-07 |
| Holiday Cvs LLC · Cvs Pharmacy # 03675 | 1 E Nine Mile Rd, Pensacola, FL 32534-3136 | 8504751000 | 2019-01-01 |
| Aids Healthcare Foundation · Ahf Pharmacy | 4300 Bayou Blvd, Suite 17d, Pensacola, FL 32503-2671 | 8504720962 | 2019-12-27 |
| Walgreen Co · Walgreens # 10312 | 85 Beverly Pkwy, Pensacola, FL 32505-2813 | 8504322841 | 2020-03-01 |
| Walgreen Co · Walgreens #07344 | 700 N Pace Blvd, Pensacola, FL 32505-7500 | 8504323307 | 2020-03-01 |
| Holiday Cvs LLC · Cvs Pharmacy #04171 | 1101 Scenic Hwy, Pensacola, FL 32503-6618 | 8504380776 | 2019-01-01 |
| Walgreen Co · Walgreens | 870 E Cervantes St, Pensacola, FL 32501-3212 | 8504345561 | 2020-03-01 |
| Find all suppliers in the same city | |||
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Optum Infusion Services 209 Inc | 425 Franklin Gateway, Ste 535, Marietta, GA 30067-7748 | 7704203393 | 2021-01-01 |
| Optum Infusion Services 500 Inc · Optum Infusion Services 500, Inc. | 2685 Patton Rd, Roseville, MN 55113-1137 | 6514358142 | 2017-08-11 |
| Optum Infusion Services 308 LLC · Optum Infusion Services 308, LLC | 2555 W Fairview St, Ste 104, Chandler, AZ 85224-4708 | 4807056200 | 2017-01-01 |
| Optum Infusion Services 500 Inc · Optum Infusion Services 500, Inc. | 1893 General George Patton Dr, Ste 100, Franklin, TN 37067-2790 | 8445797786 | 2017-08-11 |
| Optum Infusion Services 305 LLC · Optum Infusion Services 305, LLC | 4 Raymond Dr, Ste H, Havertown, PA 19083-3188 | 6105369095 | 2009-06-01 |
| Optum Infusion Services 203 Inc | 9984 Premier Pkwy, Miramar, FL 33025-3209 | 9549885100 | 2021-01-01 |
| Optum Infusion Services 103 LLC | 9204 Berger Rd, Ste A, Columbia, MD 21046-1729 | 8007156650 | 2010-02-01 |
| Optum Infusion Services 500 Inc · Optum Infusion Services 500, Inc. | 33 N Plains Industrial Rd, Ste B, Wallingford, CT 06492-5841 | 8008425720 | 2017-08-11 |
| Optum Infusion Services 308 LLC | 6547 S Racine Cir, Ste 300, Centennial, CO 80111-6448 | 3037081124 | 2017-01-01 |
| Optum Infusion Services 401 LLC | 4610 Northgate Blvd, Ste 130, Sacramento, CA 95834-1154 | 9166480124 | 2016-10-28 |
Do you have more infomration about Optum Infusion Services 204, Inc? Please fill in the following form.
This dataset includes 60 thousand medical equipment suppliers participated in Medicare, provided by U.S Centers for Medicare & Medicaid Services (CMS). The information on medical equipment suppliers include Provider Transaction Access Number (PTAN), business name, practice name, address, phone number, etc.