Mitchell Brantley, | |
1000 W Moreno St, Pensacola, FL 32501 | |
(850) 434-4011 | |
Not Available |
Full Name | Mitchell Brantley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1000 W Moreno St, 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 |
---|---|---|---|
1144320540 | NPI | - | NPPES |
267534000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME87928 (Florida) | Primary |
Entity Name | Pensacola Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801841473 PECOS PAC ID: 3173582624 Enrollment ID: O20041008000951 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Brantley, P O Box 409703, Atlanta, GA 30384-7903 Ph: (770) 874-5400 | Mitchell Brantley, 1000 W Moreno St, Pensacola, FL 32501 Ph: (850) 434-4011 |
Gary D Wright, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 | |
Dr. Richard Slevinski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6670 Fax: 850-416-4694 | |
Ellen B Rodman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave # Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 | |
Dr. John L Reese, M. D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-4000 | |
Stephen Rohl, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-7000 | |
Dr. Timothy A Rak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6670 Fax: 850-416-4694 | |
Luis F Camero, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave # Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 |