Dr Prabha Swamy Weiss, MD | |
23 Mack Bayou Loop Ste 100, Santa Rosa Beach, FL 32459 | |
(850) 278-3136 | |
(850) 278-3104 |
Full Name | Dr Prabha Swamy Weiss |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 23 Mack Bayou Loop Ste 100, Santa Rosa Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528201472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME133288 (Florida) | Primary |
208000000X | Pediatrics | 46187 (Arizona) | Secondary |
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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Dr Prabha Swamy Weiss, MD Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 475-4500 | Dr Prabha Swamy Weiss, MD 23 Mack Bayou Loop Ste 100, Santa Rosa Beach, FL 32459 Ph: (850) 278-3136 |
Jennifer Sloboda, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 436 Carson Oaks Ln, Santa Rosa Beach, FL 32459 Phone: 630-337-0990 | |
Dr. Tiffany Laine Vroon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 | |
Rodney Dixon Dorand, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Blue Mountain Rd, Santa Rosa Beach, FL 32459 Phone: 334-399-9553 Fax: 850-267-0359 | |
Luis Fernando Gomez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 | |
Crystal C Tidwell, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Ste 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 Fax: 850-278-3919 | |
Dr. Susanna O Buchholz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-659-6556 |