PIC:TFK Program Directory
Ft. Myers (2005)
Lee, Glades, and Hendry Counties
CMS AREA OFFICE / PIC:TFK PROVIDER9800 S. Health Park Drive
Suite 405
Ft. Myers, FL 33908
(239) 433-6723
Cheri Andrews, RN
Regional Nursing Director
(941) 361-6250
Terry Dawson RN
Senior Nursing Supervisor
(239) 433-6723 ext. 116
/ Hope Healthcare
9470 Health Park Circle
Fort Myers, 33908
Bridget Montana, MSN, APRN, FPCN, MBA
Phone:(239)489.9160
Fax:(239)482.3380
Dayna Sylvester RN, BBA
Director, Home Health
Office (239)337-4848
Cell Phone (239)560-8453
Fax Number (239)337-2132
Lisa Dolan, RN, CHPN
Manager, Hope Kids Care
(239) 940-4228
Fax (239)337-2132
Samira Beckwith
President and CEO
(Send mail here too)
Ft. Pierce (2012)
Martin, St. Lucie and Okeechobee
CMS Area Office / PIC:TFK PROVIDER1701 S. 23rd. St.
Ft. Pierce, FL 34950
(772) 467-6000
Cathy Register, RN
(772) 742-9521
Ellen Pruitt, RN
Nursing Director
/ Treasure Health
1201 SE Indian Street
Stuart, FL 34994
Jacki Nardone, LCSW, ACHP-SW
Program Director
(772) 403-4579
Michael Gray, LCSW
Program Manager
(772) 403-4500
Gainesville (2017)
Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayete, Levy, Putnam, Suwannee, Union Counties
CMS AREA OFFICE / PIC:TFK PROVIDER1701SW 16th Avenue, Bldg B
Gainesville, FL 32608
(352) 334-1400
(352) 344-1476 (fax)
Robin L. Couch, RN< BSN
Director of Nursing
(352) 393-2779
/ Community Hospice and Palliative Care
PENDING
Jacksonville (2005)
Nassau, Baker, Clay, Duval, and St. Johns Counties
CMS AREA OFFICE / PIC:TFK PROVIDER910 North Jefferson St.
Jacksonville, FL 32209
(904) 360-7070
Linda Garcia, RN (until 5/5/18)
Director of Nursing
(904) 798-4144
Garcia, Linda
Pam Bagley, RN
(904) / Community Hospice and Palliative Care
Patrice P. Austin LCSW, ACHP-SW, CLS
Director, Community PedsCare
4266 Sunbeam Rd.
Jacksonville, FL 32257
(904) 407-6302 (office)
(904) 407-6290(fax)
Amanda Spence, ARNP
Manager, Community PedsCare
Lakeland (2009)
Hardee, Highlands, and Polk Counties
CMS AREA OFFICE / PIC:TFK PROVIDER3491 Gandy Blvd. N. Suite 100
Pinellas Park, FL 33781
Cris Pinion, BSW
(727) 217-7869
Darlene Tabulov, RN, BSN
Senior Nursing Supervisor
(727)217-7858
Fax (727) 217-7921
/ Good Shepherd Hospice
Chapters Health
Mary Grindel, RN, MHA
Clinical Administrator
Good Shepherd Hospice
An Affiliate of Resource Support Center
3470 Lakeland Hills Blvd.
Lakeland, FL. 33805
Office: (863) 616-2363
Cell: (863) 944-6947
Fax: (863) 682-3006
Cindy Burton RN, BHS, CHPCA
Regional Director
Good Shepherd Hospice
105 Arneson Ave
Auburndale FL, 33823
(863) 297-1880 ext 22843
Ruth Morales RN BSN
Clinical Manager Rose Team/Peds
Good Shepherd Hospice
A Subsidiary of Chapters Health
3450 Lakeland Hills Blvd.
Lakeland, FL 33805
Office: (863) 583-3123 ext 24023
E-Fax :(863) 583-3124 - Rose Team
Cell: (863) 287-7098
E-Fax: (863) 551-4897 - Peds
Email:
Kellie Kizis, LCSW
Good Shepherd Hospice
Pediatric Hospice Social Worker
PIC Program Social Worker
105 Arneson Ave.
Auburndale, FL 33823
(863) 712-5765
E-Fax (863) 551-4897
Naples (2010)
Collier County
CMS AREA OFFICE / PIC:TFK PROVIDER1665 Medical Blvd.
Naples, FL 34110
Erica Alessandri, RN
Nursing Director
(239) 552-7448
/ Avow Hospice
1095 Whippoorwill Lane
Naples, FL 34105
(239) 261-4404 – Main
Fax:(239)262-2429
Barbara Bacigalupo, CHC
Director Operations Support
(Director of PIC Program)
(239) 280-5990
Meredith Wiacek, RN
PIC:TFK Clinical Case Manager
(239) 351-0366
Rebecca Molina
Director, Patient Accounts
(239) 430-3475
Pensacola (2005)
Escambia, Okaloosa, Santa Rosa, and Walton Counties
CMS AREA OFFICE / PIC:TFK PROVIDER5192 Bayou Blvd.
Pensacola, FL 32503
(850)484-5040
Melodie Jemison, BSW
5192 Bayou Blvd.
Pensacola, FL 32503
(850) 484-5040, ext. 1235
Janet Musgrave, RN
Nursing Supervisor
/ Covenant Hospice
5401 North 12th Avenue
Pensacola, FL 32504
Jennifer Holler, LCSW, ACHP-SW
Transformation Manager
5041 North 12th Avenue
Pensacola, FL 32504
(850) 443-2155
Cell (850) 723-4587
Monica Koetters, MSW
Children’s Support Manager
2001 N. Palafox Street
Pensacola, FL 32501
(850)202-0840
Cell: (850)383-7778
Sarasota (2009)
Manatee, Sarasota, Charlotte, and Desoto Counties
CMS Area Office / PIC:TFK PROVIDER6055 Rand Boulevard
Sarasota, FL 34238
(941)361-6250
Kathi Coiro, RN
Nursing Supervisor
(941) 361-6250, ext. 4571
Cheri Andrews, RN
Regional Nursing Director
(941) 351-6250, ext 4557
/ Tidewell Hospice
Tanya Prete, MA CCLS
PIC Program Coordinator
& Child Life Specialist
6310 Capital Drive Suite 100
Lakewood Ranch, Florida 34202
Mobile (941)350-2034
St. Petersburg (2005)
Pinellas County
CMS Area Office / PIC:TFK PROVIDER3491 Gandy Blvd. N. Suite 100
Pinellas Park, FL 33781
Cris Pinion, BSW
(727) 217-7869 .
Darlene Tabulov, RN, BSN
Senior Nursing Supervisor
(727)217-7858
Fax (727) 217-7921
/ Suncoast Hospice
Susan Finkelstein, RN, MAS
Pediatric Services Manager
5771 Roosevelt Blvd
Clearwater, FL 33760
(727) 523-2427
Fax: (727) 523-3459
Eileen Young
Medicaid Billing
(727) 523-3356
Fax (727) 523-3342 .
Tallahassee (2010)
Gadsden, Liberty, Franklin, Leon, Wakulla, Jefferson, Madison, and Taylor Counties
CMS AREA OFFICE / PIC:TFK PROVIDER2390 Phillips Road
Tallahassee, FL 32308
(850) 487-2604
Sue Gray, RN
(850) 487-2604, ext. 127
Fax: (850) 488-9235
Carie Miller, RN
Regional Director of Nursing
Cari.Miller@flhealth,gov / Covenant Hospice
1921 Capital Cir NE Ste. 1
Tallahassee, FL 32308
Jennifer Holler, LCSW, ACHP-SW
Transformation Manager
5041 North 12th Avenue
Pensacola, FL 32504
(850) 443-2155
Cell: (850) 723-4587
Monica Koetters, MSW
Children’s Support Manager
2001 N. Palafox Street
Pensacola, FL 32501
(850) 202-0840
Cell: (850) 383-7778
Jaci Bartley, MSW
PICTFK Social Worker- Tallahassee Program
1921 Capital Cir NE
Tallahassee, FL 32308
(850)575-4998
Fax: (850) 386-9161
Cell: (850) 509-6456
Jaci.bartley@choosecovenant .org
Tampa (2010)
Hillsborough County
CMS Area Office / PIC:TFK PROVIDER3491 Gandy Blvd. N. Suite 100
Pinellas Park, FL 33781
Cris Pinion, BSW
(727) 217-7869 .
Darlene Tabulov, RN, BSN
Senior Nursing Supervisor
(727) 217-7858
Fax (727) 217-7921
/ LifePath Hospice
Chapters Health
11150 N. 53rd St.
Temple Terrace, FL 33617
(813)877-2200
Mary LePiere, RN
Regional Director
Shelly Matt
Team Manager
Regina Norton
Director, Patient Accounts
CMS Registered Nurse Consultant
Cynthia L. Smith, RN, BSN
Registered Nursing Consultant
Specialty Programs Unit
Children’s Medical Services Managed Care Plan
Florida Department of Health
4052 Bald Cypress Way, Bin #A06
Tallahassee, Florida 32399-1701
Phone (850)245-4326 Fax: (850)921-8138
AHCA Program Consultant
PENDING
Florida Hospices and Palliative Care (FHCPC)
Paul Ledford, Executive Director
Florida Hospice & Palliative Care Association
2000 Apalachee Parkway
Suite 200
Tallahassee, FL 32301
Phone: (850) 878-2632 (office)
Direct Line: (850) 922-7907
Fax:(850) 878-5688
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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Updated 03/19/2018