Dr Gaines Wardlaw Hammond Jr, MD | |
320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 | |
(850) 863-0883 | |
(850) 862-0188 |
Full Name | Dr Gaines Wardlaw Hammond Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 50 Years |
Location | 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, 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 |
---|---|---|---|
1922168830 | NPI | - | NPPES |
019470200 | Medicaid | FL | |
098968 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | P1320 (Texas) | Secondary |
208800000X | Urology | 9896 (South Carolina) | Secondary |
208800000X | Urology | ME130427 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
Twin Cities Hospital | Niceville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Florida Multispecialty Physicians Llc | 5597801779 | 20 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | Northwest Florida Multispecialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790912269 PECOS PAC ID: 5597801779 Enrollment ID: O20090930000747 |
Mailing Address | Practice Location Address |
---|---|
Dr Gaines Wardlaw Hammond Jr, MD 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 Ph: (850) 863-0883 | Dr Gaines Wardlaw Hammond Jr, MD 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 Ph: (850) 863-0883 |
Dr. William F Stiles Iii, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 1032 Mar Walt Drive, Suite 250, Fort Walton Beach, FL 32547 Phone: 850-863-0883 Fax: 850-862-0188 | |
Beibei Oelrich, M.D. PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547 Phone: 850-863-0883 | |
Robert Lawrence Long, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 909 Mar Walt Dr, Suite 1011, Fort Walton Beach, FL 32547 Phone: 850-863-3377 | |
Athanasios Zachos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1032 Mar Walt Dr, Suite 240, Fort Walton Beach, FL 32547 Phone: 850-863-0883 Fax: 850-862-0188 | |
Dr. Sergio G Moreira Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547 Phone: 850-863-3463 Fax: 850-862-0188 | |
John R Burns, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 914b Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-226-6572 Fax: 850-862-8564 |