Dr William Buren Clark, MD | |
8331 N Davis Hwy, Pensacola, FL 32514 | |
(850) 505-4700 | |
(850) 505-4711 |
Full Name | Dr William Buren Clark |
---|---|
Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 8331 N Davis Hwy, 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 |
---|---|---|---|
1447230354 | NPI | - | NPPES |
054866900 | Medicaid | FL | |
024627500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | ME0058920 (Florida) | Secondary |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | ME58920 (Florida) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Mailing Address | Practice Location Address |
---|---|
Dr William Buren Clark, MD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4127 | Dr William Buren Clark, MD 8331 N Davis Hwy, Pensacola, FL 32514 Ph: (850) 505-4700 |
Dr. Derek A Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Medical Center Clinic Ent Dept, Pensacola, FL 32514 Phone: 850-474-8320 Fax: 850-474-8791 | |
Hilliary White, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 125 Baptist Way Ste 5c, Pensacola, FL 32503 Phone: 448-227-6950 | |
Dr. Adam Matthias Holdt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Pensacola, FL 32514 Phone: 850-474-8320 Fax: 850-474-8791 | |
William Elsworth Gross, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5147 N 9th Ave, Pensacola, FL 32504 Phone: 850-475-9025 Fax: 850-494-7855 | |
Dr. Jeffrey P. Chicola, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5153 N 9th Ave, Pensacola, FL 32504 Phone: 850-505-4700 Fax: 850-505-4711 | |
Dr. Royce Ellen Clifford, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 340 Hulse Road, C/o Naval Aerospace Medicine Institute, Pensacola, FL 32508 Phone: 850-452-9425 | |
Thomas Allen Babcock, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8331 N Davis Hwy, Pensacola, FL 32514 Phone: 850-505-4700 Fax: 850-505-4711 |