MEDICARE: BLUEWATER MEDICAL BILLING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1366385668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUEWATER MEDICAL BILLING, LLC

Provider Business Mailing Address
First Line	:	598 LEGION DR
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2416
Country	:	US
Telephone Number	:	850-687-8969
Fax Number	:

Provider Business Practice Location Address
First Line	:	598 LEGION DR
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2416
Country	:	US
Telephone Number	:	850-687-8969
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANIELLE CAHILL
Credential	:
Telephone Number	:	850-687-8969

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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