PIC:TFK Program Directory
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1 Ft. Pierce (2012) Martin, St. Lucie and Okeechobee CMS Area Office 1701 S. 23 rd. St. Ft. Pierce, FL (772) Cathy Register, RN (772) , ext. 204 Ellen Pruitt, RN Treasure Coast Hospice Patrice P. Austin, LCSW, CLS Pediatric/PIC Program Manager 1201 SE Indian Street Stuart, FL (772) , ext 4404 Fax: (772) Ft. Myers (2005) Lee, Glades, and Hendry Counties 9800 S. HealthPark Drive Suite 405 Ft. Myers, FL (239) Laurie Jones, RN (239) , ext. 117 Cheryl Shay, RN (239) , ext. 116 Cheri Andrews, RN Hope Hospice and Community Care Services Malia Rardin, CHPPN PIC/PEDS Manager (239) Fax: (239) Robert Stryker, LCSW Director, Hospice Care N. Cleveland Ave. N Ft. Myers, FL (239) Robert.Stryker@hopehcs.org Bridget Montana Chief Operating Officer Bridget.Montana@hopehcs.org 1
2 Gainesville (2009) Hamilton, Suwannee, Lafayette, Dixie, Columbia, Gilchrist, Levy, Union, Bradford, Alachua, and Putnam Counties 1701 S.W. 16 th Ave. Building B Gainesville, FL (800) Patricia Smith, RN Senior Nurse Supervisor (352) patricia.smith@flhealth.gov Noemi Stewart Social Services Specialist (352) noemi.stewart@flhealth.gov Robin Couch, RN (352) Robin.Couch@flhealth.gov Hospice of the Nature Coast/Hospice of Citrus County Bonnie L. Saylor, Chief Operations Officer (352) or Fax: bsaylor@hospiceofcitrus.org Marylin Bloom Director of Children s Services 3264 W Audubon Park Path Lecanto, FL (352) Fax: (352) mbloom@hospiceofcitrus.org Jacksonville (2005) Nassau, Baker, Clay, Duval, and St. Johns Counties 910 North Jefferson St. Jacksonville, FL (904) Sherry Buchman, RN (904) Buchman, Sherry Sherry.Buchman@flhealth.gov Elisa Malo, SW (904) Elisa.Malo@flhealth.gov Community Hospice of N.E. Florida, Community PedsCare Terry Eason, MPH, RN, CHPN Director, Community PedsCare 4266 Sunbeam Rd. Jacksonville, FL (904) Fax; (904) teason@communityhospice.com 2
3 Lakeland (2009) Hardee, Highlands, and Polk Counties Cris Pinion, BSW 3491 Gandy Blvd., Suite 100 St. Petersburg, FL (727) Darlene Tabulov, RN, BSN 3491 Gandy Blvd. N. Suite 100 Pinellas Park, FL (727) Fax (727) Good Shepherd Hospice Chapters Health Cindy Burton, RN, CHPN, CHPCA Support Services Director 105 Arneson Ave Auburndale, FL (863) Fax: (863) Ruth Morales, RN (863) Fax: (863) Becky McIntyre, RN Chief Clinical Officer (863) Naples (2010) Collier County Erica Alessandri, RN (239) Whippoorwill Lane Naples, FL (239) Main Fax: (239) Avow Hospice Maggie Gates, RN, CHPN PIC:TFK Clinical Director (239) Mariana Vandivier LCSW PIC:TFK Clinical Manager Rebecca Molina Director, Patient Accounts (239) Direct 3
4 Miami (2009) ***Closing October 2015*** Dade and Monroe Counties PIC PROVIDER 401 NW 2nd Avenue, Suite N-220 Miami, Florida (786) Heartland Hospice Yves-Clarelle Salomon, RN Senior Registered Nurse Supervisor Phone: Betty Mayo, RN, 401 N.W. 2 nd Ave Suite N220 Miami, FL (305) Betty.mayo@flhealth.gov Ocala (2010) Citrus County 3200 E. Silver Springs Blvd Suite 201 Ocala, FL (352) Susanne Worsham, RN CMS PIC:TFK Liaison (352) Fax: (352) Susanne.Worsham@flhealth.gov Renee Cain, RN Jojuan.Cain@flhealth.gov Debra Grant, RN Debra.Grant@flhealth.gov Hospice of Citrus and the Nature Coast (serves Citrus) Bonnie L. Saylor, Chief Operations Officer (352) or Fax: (352) bsaylor@hospiceofcitrus.org Marylin Bloom Director of Children s Services 3264 W Audubon Park Path Lecanto, FL (352) Fax: (352) mbloom@hospiceofcitrus.org 4
5 Ocala (2010) Marion County 3200 E. Silver Springs Blvd Suite 201 Ocala, FL (352) Susanne Worsham, RN CMS PIC:TFK Liaison (352) Fax: (352) Renee Cain, RN Debra Grant, RN Hospice of Marion County (serves only Marion County) Tracie Wiggins Pediatric Palliative Care Program Manager Hospice of Marion County (352) Christie Barbur, RN Cell: (352) Fax: (352) Amy Rath Children s Coordinator (352) arath@hospiceofmarion.com Mary Ellen Poe, CEO (352) mpoe@hospiceofmarion.com Pensacola (2005) Escambia, Okaloosa, Santa Rosa, and Walton Counties 5192 Bayou Blvd. Pensacola, FL (850) Melodie Jemison, MSW 5192 Bayou Blvd. Pensacola, FL (850) , ext Melodie.Jemison@flhealth.gov Covenant Hospice Jennifer Holler, LCSW Director Children and Family Support Services 5041 N. 12 th Ave. Pensacola, FL (850) Fax: (850) Jennifer.Holler@covenanthospice.org Jane Gonzalez, RN Nursing Supervisor Jane.Gonzalez@flhealth.gov Ariell Ussery, MSW (850) Ariell.ussery@covenanthospice.org 5
6 Sarasota (2009) Manatee, Sarasota, Charlotte, and Desoto Counties CMS Area Office 6055 Rand Boulevard Sarasota, FL (941) Kathi Coiro, RN Nursing Supervisor (941) , ext Joanna Luebs (941) , ext 4531 Tidewell Hospice Tanya Prete PIC Program Director & Child Life Specialist 6310 Capital Drive Suite 100 Lakewood Ranch, Florida (941) Mobile (941) Cheri Andrews, RN (941) , ext 4557 St. Petersburg (2005) Pinellas County CMS Area Office Cris Pinion, BSW 3491 Gandy Blvd., Suite 100 St. Petersburg, FL (727) Darlene Tabulov, RN, BSN 3491 Gandy Blvd. N. Suite 100 Pinellas Park, FL (727) Fax (727) Suncoast Hospice Susan Finkelstein 5771 Roosevelt Blvd Clearwater, FL (727) Fax: (727) Medicaid billing: Eileen Young (727) Fax (727)
7 Tallahassee (2010) PIC:TFK Program Directory Gadsden, Liberty, Franklin, Leon, Wakulla, Jefferson, Madison, and Taylor Counties 2390 Phillips Road Tallahassee, FL (850) Sue Gray, RN (850) , ext. 127 Fax: (850) Joni Hollis, RN (850) Covenant Hospice Jennifer Holler, LCSW Director Children and Family Support Services 5041 N. 12 th Ave. Pensacola, FL (850) Fax: (850) Tampa (2010) Hillsborough County CMS Area Office Cris Pinion, BSW 3491 Gandy Blvd., Suite 100 St. Petersburg, FL (727) Darlene Tabulov, RN, BSN 3491 Gandy Blvd. N. Suite 100 Pinellas Park, FL (727) Fax (727) LifePath Hospice Chapters Health N. 53 rd St. Temple Terrace, FL Lynn Parker Clinical Manager (813) Fax: (813) Diana Yates, RN Regional Director Kimberly Chapman Director, Patient Accounts (813) Fax: (813) Liz Brown SSS Cinda Bigger Manager, Patient Accounts 813) Fax (813)
8 Contacts: CMS State Program Manager Dusty Edwards, RN, BSN Department of Health (DOH) Children s Medical Services (CMS) 4052 Bald Cypress Way, Bin #A06 Tallahassee, FL Phone: 9850) , ext.2217 Fax: (850) Dusty.Edwards@flhealth.gov AHCA Program Consultant Claire Anthony-Davis RN Registered Nursing Consultant- Medicaid Services Agency for Healthcare Administration (AHCA) 2727 Mahan Drive Tallahassee, FL Phone number: (850) Fax: (850) Claire.davis@ahca.myflorida.com Florida Hospices and Palliative Care (FHCPC) Paul Ledford, Executive Director Florida Hospice & Palliative Care Association 2000 Apalachee Parkway Suite 200 Tallahassee, FL Phone: (850) (office) Direct Line: (850) Fax (850) Paul@floridahospices.org For all PIC:TFK billing related issues, contact to speak with a Medicaid representative directly who can assist you. 8
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