Mr Wayde Tucker Retherford, | |
4318 5th Ave, Marianna, FL 32446-2182 | |
(850) 526-5300 | |
(850) 526-2001 |
Full Name | Mr Wayde Tucker Retherford |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 5 Years |
Location | 4318 5th Ave, Marianna, 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 |
---|---|---|---|
1861952624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME152692 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health | Blountstown, FL | Home health agency |
Gentiva Health Services | Marianna, FL | Home health agency |
Jackson Hospital | Marianna, FL | Hospital |
Marianna Health And Rehabilitation Center | Marianna, FL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Er Physician Group At Jackson Hospital | 8729059472 | 37 |
Entity Name | Er Physician Group At Jackson Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407801194 PECOS PAC ID: 8729059472 Enrollment ID: O20040804001770 |
Mailing Address | Practice Location Address |
---|---|
Mr Wayde Tucker Retherford, 4250 Hospital Dr, Marianna, FL 32446-1917 Ph: (850) 526-2200 | Mr Wayde Tucker Retherford, 4318 5th Ave, Marianna, FL 32446-2182 Ph: (850) 526-5300 |
Dr. Jirayos Chintanadilok, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4296 5th Avenue, Marianna, FL 32446 Phone: 850-482-2061 Fax: 850-482-6617 | |
Dr. Richard M Christopher Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4318 5th Ave, Marianna, FL 32446 Phone: 850-526-5300 Fax: 850-482-5021 | |
Mechelle L Moody, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4970 Highway 90, Marianna, FL 32446 Phone: 850-718-5620 Fax: 850-718-5670 | |
Mr. John Joseph Nanfro, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4230 Hospital Dr, Ste 101, Marianna, FL 32446 Phone: 850-526-7607 Fax: 850-526-5021 | |
Dr. Steven Walter Spence, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4318 5th Ave, Marianna, FL 32446 Phone: 850-526-5300 Fax: 850-482-5021 | |
Dr. John Garmany Brunner, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Hospital Dr Ste 210, Marianna, FL 32446 Phone: 850-526-6735 Fax: 850-633-5912 | |
Joe H Gay, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4215 - E Kelson Ave, Marianna, FL 32446 Phone: 850-526-3434 Fax: 850-526-7743 |