Andrew John Van Brocklin, DO | |
8333 N Davis Hwy, Pensacola, FL 32514-6050 | |
(850) 474-8015 | |
(850) 969-2840 |
Full Name | Andrew John Van Brocklin |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 17 Years |
Location | 8333 N Davis Hwy, Pensacola, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902181555 | NPI | - | NPPES |
009795100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS015794 (Pennsylvania) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | OS11531 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gulf Breeze Hospital | Gulf breeze, FL | Hospital |
Baptist Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Florida Medical Center Clinic Pa | 7416860705 | 110 |
Entity Name | West Florida Medical Center Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568452688 PECOS PAC ID: 7416860705 Enrollment ID: O20031113000322 |
Mailing Address | Practice Location Address |
---|---|
Andrew John Van Brocklin, DO 8333 N Davis Hwy, Pensacola, FL 32514-6050 Ph: (850) 474-8100 | Andrew John Van Brocklin, DO 8333 N Davis Hwy, Pensacola, FL 32514-6050 Ph: (850) 474-8015 |
Thomas Taylor Fish, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 | |
Quaison N Alleyne, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 | |
Dr. Pablo Concepcion, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4624 N Davis Hwy, Pensacola, FL 32503 Phone: 850-494-0000 Fax: 850-494-0001 | |
Dr. Richard Albert Hackim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 102 Severin Dr, Pensacola, FL 32503 Phone: 850-438-7016 | |
Dan L Carey, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 | |
Dr. Jason G Ramirez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4451 Bayou Blvd, Pensacola, FL 32503 Phone: 850-416-7619 Fax: 850-416-7753 | |
Jeffrey M Cox, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 545 Brent Ln, Pensacola, FL 32503 Phone: 850-465-0651 Fax: 850-484-4283 |