Dr George Heyward Fulghum Iii, DO | |
5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 | |
(850) 416-6159 | |
(850) 416-7198 |
Full Name | Dr George Heyward Fulghum Iii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 5153 N 9th Ave Ste 305, Pensacola, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932474111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | E-8208 (Arkansas) | Secondary |
208600000X | Surgery | T-2951 (Mississippi) | Secondary |
208600000X | Surgery | OS16136 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sacred Heart Health System, Inc | 5799763074 | 26 |
Entity Name | Sacred Heart Health System, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902857352 PECOS PAC ID: 5799763074 Enrollment ID: O20040713000147 |
Mailing Address | Practice Location Address |
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Dr George Heyward Fulghum Iii, DO 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: () - | Dr George Heyward Fulghum Iii, DO 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 Ph: (850) 416-6159 |
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 |