Kyle Kit Shaddix, MD | |
5147 N 9th Ave, Ste 203, Pensacola, FL 32504-8771 | |
(850) 476-7100 | |
(850) 479-6042 |
Full Name | Kyle Kit Shaddix |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 5147 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 |
---|---|---|---|
1346496460 | NPI | - | NPPES |
003155317A | Medicaid | GA | |
013852500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME99596 (Florida) | Secondary |
208200000X | Plastic Surgery | ME99596 (Florida) | Primary |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Entity Name | Novo Plastic Surgery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740674464 PECOS PAC ID: 7810207933 Enrollment ID: O20151102001740 |
Mailing Address | Practice Location Address |
---|---|
Kyle Kit Shaddix, MD 5147 N 9th Ave, Ste. 203, Pensacola, FL 32504-8771 Ph: (850) 476-7100 | Kyle Kit Shaddix, MD 5147 N 9th Ave, Ste 203, Pensacola, FL 32504-8771 Ph: (850) 476-7100 |
Dr. James D Frost, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, West Florida Medical Center Clinic Pa, Pensacola, FL 32514 Phone: 850-474-8333 Fax: 850-969-2973 | |
Dr. Teodoro K Ortega, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5080 Bayou Blvd, Pensacola, FL 32503 Phone: 850-477-4074 Fax: 850-476-9234 | |
Dr. Marcos R Ortega, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5080 Bayou Blvd, Pensacola, FL 32503 Phone: 850-477-4074 Fax: 850-476-9234 | |
Dr. Benjamin Jacob Brown, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 E Government St, Pensacola, FL 32502 Phone: 850-500-7527 Fax: 850-855-4030 |