Jennifer Ellen Susoreny-velgos, DO | |
2202 State Ave Ste 108b, Panama City, FL 32405-4539 | |
(850) 252-7512 | |
Not Available |
Full Name | Jennifer Ellen Susoreny-velgos |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 12 Years |
Location | 2202 State Ave Ste 108b, Panama City, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821356601 | NPI | - | NPPES |
221624003 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | E-10631 (Arkansas) | Secondary |
208600000X | Surgery | OS-18050 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gulf Coast Multispeciality Services, Llc | 2466555339 | 23 |
Entity Name | Gulf Coast Multispeciality Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649296088 PECOS PAC ID: 2466555339 Enrollment ID: O20070314000014 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Ellen Susoreny-velgos, DO 2202 State Ave Ste 108b, Panama City, FL 32405-4539 Ph: (850) 252-7512 | Jennifer Ellen Susoreny-velgos, DO 2202 State Ave Ste 108b, Panama City, FL 32405-4539 Ph: (850) 252-7512 |
George Erwin Reiss, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 740 Harrison Ave, Panama City, FL 32401 Phone: 850-785-3232 Fax: 850-747-8648 | |
Dr. Raymond A Mockler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Airport Rd, Panama City, FL 32405 Phone: 850-769-7270 Fax: 850-769-7229 | |
Howell Ross Fishel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2407 Ruth Hentz Avenue, Panama City, FL 32405 Phone: 850-522-5022 Fax: 601-984-5110 | |
Dr. Norman Alex Jones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2407 Ruth Hentz Ave, Panama City, FL 32405 Phone: 850-522-5022 Fax: 850-387-0807 | |
Katharina Pellegrin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. Rebecca Suzanne Hysong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. John J Richards, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 Jenks Ave, Panama City, FL 32401 Phone: 850-215-3000 Fax: 850-215-3150 |