George Michael Dmytrenko, MD, PHD | |
5153 N 9th Ave, Pensacola, FL 32504-8785 | |
(850) 416-2554 | |
(850) 416-2536 |
Full Name | George Michael Dmytrenko |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 5153 N 9th Ave, 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 |
---|---|---|---|
1104833557 | NPI | - | NPPES |
371074200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME0062184 (Florida) | Primary |
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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George Michael Dmytrenko, MD, PHD Po Box 2699, Pensacola, FL 32513-2699 Ph: () - | George Michael Dmytrenko, MD, PHD 5153 N 9th Ave, Pensacola, FL 32504-8785 Ph: (850) 416-2554 |
Dr. Ethan Mccaleb Gore, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Pensacola, FL 32514 Phone: 850-474-8353 Fax: 850-474-8504 | |
Dr. Aaron Oree Godwin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 | |
Warren Hardy Scott, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-469-3424 | |
Dr. Jorge M Pelaez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8333 N Davis Hwy, West Florida Medical Center Clinic Pa, Pensacola, FL 32514 Phone: 850-474-8353 Fax: 850-474-8504 | |
Jacobo A. Cruz, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4400 Bayou Blvd, Suite 51, Pensacola, FL 32503 Phone: 850-484-7774 Fax: 850-484-8874 | |
Dr. Praveen Narahari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-595-1400 | |
Dr. Anita Marie Nusbaum, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6425 N. Pensacola Boulevard, Pensacola, FL 32503 Phone: 850-471-7792 |