Dr Allan L Fedosky, MD | |
4554 E Highway 20, Niceville, FL 32578-9755 | |
(850) 897-1824 | |
(850) 897-1827 |
Full Name | Dr Allan L Fedosky |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4554 E Highway 20, Niceville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366458408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0029230 (Guam) | Primary |
Entity Name | Access Medical Group, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508054594 PECOS PAC ID: 2769476324 Enrollment ID: O20040414001331 |
Mailing Address | Practice Location Address |
---|---|
Dr Allan L Fedosky, MD Po Box 5008, Niceville, FL 32578-5008 Ph: (850) 897-1824 | Dr Allan L Fedosky, MD 4554 E Highway 20, Niceville, FL 32578-9755 Ph: (850) 897-1824 |
Ms. Julie Anne Staats, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Partin Dr N, Ste 120, Niceville, FL 32578 Phone: 850-279-3040 | |
Dr. Kathy J. Green, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 4586 E Highway 20, Suite B, Niceville, FL 32578 Phone: 850-897-3200 | |
Steven Lester Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20, Suite B, Niceville, FL 32578 Phone: 850-897-3200 Fax: 850-897-2353 | |
Dr. Pat Thomas Tidwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 E Highway 20 Ste 203, Niceville, FL 32578 Phone: 850-897-3678 Fax: 850-373-4544 | |
Wayne P Justice, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1003 College Blvd W, Ste 2, Niceville, FL 32578 Phone: 850-678-0443 Fax: 850-678-7999 | |
Dr. Mark Steven Harber, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 John Sims Pkwy E, Niceville, FL 32578 Phone: 850-729-8050 |