Colombe Castellucci, | |
806 E 6th St Ste 606, Panama City, FL 32401-3620 | |
(850) 804-3800 | |
Not Available |
Full Name | Colombe Castellucci |
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Gender | Female |
Speciality | Surgery |
Location | 806 E 6th St Ste 606, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669903712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME157044 (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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Colombe Castellucci, 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Colombe Castellucci, 806 E 6th St Ste 606, Panama City, FL 32401-3620 Ph: (850) 804-3800 |
George Erwin Reiss, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 740 Harrison Ave, Panama City, FL 32401 Phone: 850-785-3232 Fax: 850-747-8648 | |
Dr. Raymond A Mockler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Airport Rd, Panama City, FL 32405 Phone: 850-769-7270 Fax: 850-769-7229 | |
Howell Ross Fishel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2407 Ruth Hentz Avenue, Panama City, FL 32405 Phone: 850-522-5022 Fax: 601-984-5110 | |
Dr. Norman Alex Jones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2407 Ruth Hentz Ave, Panama City, FL 32405 Phone: 850-522-5022 Fax: 850-387-0807 | |
Katharina Pellegrin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. Rebecca Suzanne Hysong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. John J Richards, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 Jenks Ave, Panama City, FL 32401 Phone: 850-215-3000 Fax: 850-215-3150 |