Florida Department of Health



Ft. Myers (2005)Lee, Glades, and Hendry CountiesCMS AREA OFFICEPIC:TFK PROVIDER9800 S. Health Park DriveSuite 405Ft. Myers, FL 33908(239) 433-6723Cheri Andrews, RNRegional Nursing Director (941) 361-6250Cheri.Andrews@ Terry Dawson RNSenior Nursing Supervisor (239) 433-6723 ext. 116 ?Teresa.Dawson@? Hope Healthcare9470 Health Park CircleFort Myers, 33908Bridget Montana, MSN, APRN, FPCN, MBAPhone:?(239) 489.9160Fax:?(239) 482.3380Bridget.montana@Dayna Sylvester RN, BBADirector, Home HealthOffice (239) 337-4848Cell Phone (239) 560-8453Fax Number (239) 337-2132Dayna.Sylvester@Lisa Dolan, RN, CHPNManager, Hope Kids Care(239) 940-4228Fax (239)337-2132lisa.dolan@ Samira Beckwith President and CEO(Send mail here too)Ft. Pierce (2012)Martin, St. Lucie and Okeechobee CMS Area OfficePIC:TFK PROVIDER1701 S. 23rd. St.Ft. Pierce, FL 34950(772) 467-6000Cathy Register, RN (772) 742-9521Catherine.Register@Ellen Pruitt, RNNursing DirectorEllen.Pruitt@Treasure Health1201 SE Indian StreetStuart, FL 34994Jacki Nardone, LCSW, ACHP-SWProgram Director(772) 403-4579Jnardone@Michael Gray, LCSWProgram Manager(772) 403-4500mgray@Gainesville (2017)Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayete, Levy, Putnam, Suwannee, Union CountiesCMS AREA OFFICEPIC:TFK PROVIDER1701 SW 16th Avenue, Bldg BGainesville, FL 32608(352) 334-1400(352) 344-1476 (fax)Robin L. Couch, RN< BSNDirector of Nursing(352) 393-2779Robin.Couch@Community Hospice and Palliative CarePENDINGJacksonville (2005)Nassau, Baker, Clay, Duval, and St. Johns CountiesCMS AREA OFFICEPIC:TFK PROVIDER910 North Jefferson St.Jacksonville, FL 32209(904) 360-7070Linda Garcia, RN (until 5/5/18)Director of Nursing (904) 798-4144Garcia, LindaLinda.Garcia@ Pam Bagley, RN(904) 798-4101Pamela.Bagley@Community Hospice and Palliative CarePatrice P. Austin LCSW, ACHP-SW, CLSDirector, Community PedsCare?4266 Sunbeam Rd.Jacksonville, FL? 32257(904) 407-6302 (office)(904) 407-6290(fax)PAustin@Amanda Spence, ARNPManager, Community PedsCareaspence@Lakeland (2009)Hardee, Highlands, and Polk CountiesCMS AREA OFFICEPIC:TFK PROVIDER3491 Gandy Blvd. N. Suite 100Pinellas Park, FL 33781Cris Pinion, BSW (727) 217-7869Cristine.Pinion@ Darlene Tabulov, RN, BSNSenior Nursing Supervisor (727) 217-7858Fax (727) 217-7921Darlene.Tabulov@Good Shepherd HospiceChapters HealthMary Grindel, RN, MHAClinical AdministratorGood Shepherd HospiceAn Affiliate of Resource Support Center3470 Lakeland Hills Blvd.Lakeland, FL. 33805Office: (863) 616-2363Cell: (863) 944-6947Fax: (863) 682-3006grindelm@?Cindy Burton RN, BHS, CHPCARegional DirectorGood Shepherd Hospice105 Arneson AveAuburndale FL, 33823(863) 297-1880 ext 22843burtonc@?Ruth Morales RN BSNClinical Manager Rose Team/PedsGood Shepherd Hospice A Subsidiary of Chapters Health3450 Lakeland Hills Blvd.Lakeland, FL? 33805Office: (863) 583-3123 ext 24023E-Fax :(863) 583-3124 - Rose TeamCell: (863) 287-7098E-Fax: (863) 551-4897 - Peds Email: moralesr@?Kellie Kizis, LCSWGood Shepherd HospicePediatric Hospice Social WorkerPIC Program Social Worker?105 Arneson Ave.Auburndale, FL 33823(863) 712-5765E-Fax (863) 551-4897kizisk@Naples (2010)Collier CountyCMS AREA OFFICEPIC:TFK PROVIDER1665 Medical Blvd.Naples, FL 34110Erica Alessandri, RNNursing Director(239) 552-7448Erica.Alessandri@ Avow Hospice1095 Whippoorwill LaneNaples, FL 34105(239) 261-4404 – MainFax:(239) 262-2429Barbara Bacigalupo, CHCDirector Operations Support (Director of PIC Program)(239) 280-5990bbacigalupo@ Meredith Wiacek, RNPIC:TFK Clinical Case Manager(239) 351-0366mwiacek@Rebecca MolinaDirector, Patient Accounts(239) 430-3475rmolina@Pensacola (2005)Escambia, Okaloosa, Santa Rosa, and Walton CountiesCMS AREA OFFICEPIC:TFK PROVIDER5192 Bayou Blvd.Pensacola, FL 32503(850) 484-5040Melodie Jemison, BSW5192 Bayou Blvd.Pensacola, FL 32503(850) 484-5040, ext. 1235Melodie.Jemison@ Janet Musgrave, RNNursing SupervisorJanet.Musgrave@ Covenant Hospice5401 North 12th AvenuePensacola, FL 32504Jennifer Holler, LCSW, ACHP-SWTransformation Manager5041 North 12th AvenuePensacola, FL 32504(850) 443-2155Cell (850) 723-4587Jennifer.Holler@Monica Koetters, MSWChildren’s Support Manager2001 N. Palafox StreetPensacola, FL 32501(850)202-0840Cell: (850)383-7778Monica.koetters@Sarasota (2009)Manatee, Sarasota, Charlotte, and Desoto CountiesCMS Area OfficePIC:TFK PROVIDER6055 Rand BoulevardSarasota, FL 34238(941)361-6250Kathi Coiro, RNNursing Supervisor(941) 361-6250, ext. 4571 HYPERLINK "mailto:Kathi.Coiro@doh.state.fl.us" Kathi.Coiro@Cheri Andrews, RNRegional Nursing Director(941) 351-6250, ext 4557Cheri.Andrews@ Tidewell HospiceTanya Prete, MA CCLSPIC Program Coordinator& Child Life Specialist6310 Capital Drive Suite 100Lakewood Ranch, Florida 34202Mobile (941)350-2034tprete@ St. Petersburg (2005)Pinellas CountyCMS Area OfficePIC:TFK PROVIDER3491 Gandy Blvd. N. Suite 100Pinellas Park, FL 33781Cris Pinion, BSW (727) 217-7869 Cristine.Pinion@.Darlene Tabulov, RN, BSNSenior Nursing Supervisor (727) 217-7858Fax (727) 217-7921Darlene.Tabulov@ Suncoast HospiceSusan Finkelstein, RN, MASPediatric Services Manager5771 Roosevelt BlvdClearwater, FL 33760(727) 523-2427Fax: (727) 523-3459Susanfinkelstein@ Eileen Young Medicaid Billing(727) 523-3356Fax (727) 523-3342 EileenYoung@.Tallahassee (2010)Gadsden, Liberty, Franklin, Leon, Wakulla, Jefferson, Madison, and Taylor CountiesCMS AREA OFFICEPIC:TFK PROVIDER2390 Phillips RoadTallahassee, FL 32308(850) 487-2604Sue Gray, RN(850) 487-2604, ext. 127Fax: (850) 488-9235Sue.Gray@ Carie Miller, RNRegional Director of Nursing Cari.Miller@flhealth,gov Covenant Hospice HYPERLINK "" 1921 Capital Cir NE Ste. 1Tallahassee, FL 32308Jennifer Holler, LCSW, ACHP-SWTransformation Manager5041 North 12th AvenuePensacola, FL 32504(850) 443-2155Cell: (850) 723-4587Monica Koetters, MSWChildren’s Support Manager2001 N. Palafox StreetPensacola, FL 32501(850) 202-0840Cell: (850) 383-7778Monica.koetters@Jaci Bartley, MSWPICTFK Social Worker- Tallahassee Program1921 Capital Cir NE Tallahassee, FL 32308(850)575-4998 Fax: (850) 386-9161 Cell: (850) 509-6456 Jaci.bartley@choosecovenant .orgTampa (2010)Hillsborough CountyCMS Area OfficePIC:TFK PROVIDER3491 Gandy Blvd. N. Suite 100Pinellas Park, FL 33781Cris Pinion, BSW (727) 217-7869 Cristine.Pinion@.Darlene Tabulov, RN, BSNSenior Nursing Supervisor (727) 217-7858Fax (727) 217-7921Darlene.Tabulov@LifePath HospiceChapters Health11150 N. 53rd St.Temple Terrace, FL 33617(813)877-2200Mary LePiere, RNRegional DirectorLePiereM@Shelly MattTeam ManagerMattS@?Regina NortonDirector, Patient Accounts nortonr@CMS Registered Nurse Consultant Cynthia L. Smith, RN, BSNRegistered Nursing ConsultantSpecialty Programs UnitChildren’s Medical Services Managed Care PlanFlorida Department of Health4052 Bald Cypress Way, Bin #A06Tallahassee, Florida 32399-1701Phone (850)245-4326 Fax: (850)921-8138Cynthia.Smith@AHCA Program ConsultantPENDINGFlorida Hospices and Palliative Care (FHCPC)Paul Ledford, Executive DirectorFlorida Hospice & Palliative Care Association2000 Apalachee ParkwaySuite 200Tallahassee, FL 32301Phone: (850) 878-2632 (office)Direct Line: (850) 922-7907Fax: (850) 878-5688Paul@For all PIC:TFK billing related issues, contact 1-877-254-1055 to speak with a Medicaid representative directly who can assist you. ................
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