Alan I Sacks, MD | |
1675 Trinity Dr, Pensacola, FL 32504-5708 | |
(850) 416-1575 | |
(850) 416-7435 |
Full Name | Alan I Sacks |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 1675 Trinity Dr, 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 |
---|---|---|---|
1720094162 | NPI | - | NPPES |
257679100 | Medicaid | FL | |
009928760 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | ME79325 (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 |
---|---|
Alan I Sacks, MD Po Box 2699, Attn: Shmg/hpe, Pensacola, FL 32513-2699 Ph: (850) 416-1575 | Alan I Sacks, MD 1675 Trinity Dr, Pensacola, FL 32504-5708 Ph: (850) 416-1575 |
Elyse S Schrandt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-1575 | |
Prashanth Shanmugham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-4970 | |
Lisbeth Vernali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4785 N 9th Ave, Suite A, Pensacola, FL 32503 Phone: 850-478-7600 | |
Gulnur Com, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-1110 Fax: 850-416-1192 | |
John Frank Bullard Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2805 Bayou Blvd, Pensacola, FL 32503 Phone: 850-434-6881 Fax: 850-434-8999 | |
Mr. Roger C Clubbs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4951 Grande Dr, Pensacola, FL 32504 Phone: 850-473-0100 Fax: 850-473-0500 | |
Robert K Wilson Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5192 Bayou Blvd, Pensacola, FL 32503 Phone: 850-484-5040 Fax: 850-475-5527 |