Bryan Christian Steele Weidner, MD | |
5153 N 9th Ave, Suite 307, Pensacola, FL 32504-8785 | |
(850) 416-7119 | |
(850) 416-6142 |
Full Name | Bryan Christian Steele Weidner |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 5153 N 9th Ave, 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 |
---|---|---|---|
1124075692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | ME101775 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Bryan Christian Steele Weidner, MD Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 416-7119 | Bryan Christian Steele Weidner, MD 5153 N 9th Ave, Suite 307, Pensacola, FL 32504-8785 Ph: (850) 416-7119 |
Isaiah Brown, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5149 N 9th Ave Ste 120, Pensacola, FL 32504 Phone: 850-479-1805 | |
William J Kaiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave Ste 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
Valerie Marie Pruitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4451 Bayou Blvd, Pensacola, FL 32503 Phone: 850-416-6159 Fax: 850-416-7198 | |
Dr. Mark Edward Lytle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave, Suite 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
John A Tucker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Floor, Pensacola, FL 32514 Phone: 850-437-3777 Fax: 850-437-3318 | |
Ludovic M Lasquety, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5147 N 9th Ave, Ste. 203, Pensacola, FL 32504 Phone: 850-476-6110 Fax: 850-479-6042 | |
Layne R. Yonehiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 N E St, Suite 533, Pensacola, FL 32501 Phone: 850-429-0102 Fax: 850-429-0830 |