Dr Mervin Punzalan Manuel, MD | |
410 N Main St Ste 1-2, Chiefland, FL 32626-0866 | |
(352) 493-7274 | |
(352) 493-9290 |
Full Name | Dr Mervin Punzalan Manuel |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 410 N Main St Ste 1-2, Chiefland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215070396 | NPI | - | NPPES |
102682978 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME123580 (Florida) | Primary |
Entity Name | White-wilson Medical Center Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467437277 PECOS PAC ID: 4082510607 Enrollment ID: O20031212000140 |
Entity Name | North Okaloosa Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576 |
Entity Name | Trenton Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865 |
Mailing Address | Practice Location Address |
---|---|
Dr Mervin Punzalan Manuel, MD 116 Arrowhead Way, Niceville, FL 32578-1065 Ph: (304) 534-0636 | Dr Mervin Punzalan Manuel, MD 410 N Main St Ste 1-2, Chiefland, FL 32626-0866 Ph: (352) 493-7274 |
Dr. Valerie C Burns, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 410 N Main St, Ste 1-2, Chiefland, FL 32626 Phone: 352-493-7274 Fax: 352-493-9290 | |
Dr. Mary Ellen Valletta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2010 N Young Blvd, Chiefland, FL 32626 Phone: 352-463-2374 Fax: 352-463-4507 |