Bascom Clarence Raney, | |
9400 University Pkwy, Suite 409, Pensacola, FL 32514-5752 | |
(850) 208-6160 | |
Not Available |
Full Name | Bascom Clarence Raney |
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Gender | Male |
Speciality | Family Medicine |
Location | 9400 University Pkwy, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720083876 | NPI | - | NPPES |
04161 | Other | FL | BLUE CROSS FLORIDA |
660034400 | Other | FL | RURAL HEALTH (MEDICAL) |
010024345 | Other | FL | RAILROAD MEDICARE |
59064837 | Other | AL | BLUE CROSS ALABAMA |
103864 | Other | CAHABE GBA MEDICARE | |
046121100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0051114 (Florida) | Primary |
Entity Name | Jay Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518071562 PECOS PAC ID: 3577466325 Enrollment ID: O20040129000235 |
Entity Name | Baptist Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376779892 PECOS PAC ID: 9638215734 Enrollment ID: O20091002000436 |
Mailing Address | Practice Location Address |
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Bascom Clarence Raney, 245 W Airport Blvd, Pensacola, FL 32505-2254 Ph: () - | Bascom Clarence Raney, 9400 University Pkwy, Suite 409, Pensacola, FL 32514-5752 Ph: (850) 208-6160 |
Wayne S Willis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3111 Peggy Bond Dr, Pensacola, FL 32504 Phone: 850-438-9755 Fax: 850-438-0699 | |
Dr. Kyle Harvey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 220 Hovey Rd, Pensacola, FL 32508 Phone: 770-396-3898 | |
Alisha Dalila Carter, NP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Industrial Blvd Ste C, Pensacola, FL 32503 Phone: 850-290-8410 Fax: 866-574-6391 | |
Mr. David R Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 321 S Fairfield Dr, Pensacola, FL 32506 Phone: 850-458-4200 Fax: 850-456-7222 | |
Dr. Roberta Beals, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 161 E Nine Mile Rd, Pensacola, FL 32534 Phone: 850-696-4000 Fax: 850-434-2647 | |
Mr. Christopher H Rush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 321 S Fairfield Dr, Pensacola, FL 32506 Phone: 850-474-8546 Fax: 850-456-7222 | |
Dr. Eric John Kujawski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4541 N Davis Hwy Ste A, Pensacola, FL 32503 Phone: 850-494-9000 |