Mrs Stephanie Anne Wolanin, MD | |
1899 Eider Ct, Tallahassee, FL 32308-4537 | |
(850) 878-5143 | |
Not Available |
Full Name | Mrs Stephanie Anne Wolanin |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 10 Years |
Location | 1899 Eider Ct, Tallahassee, 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 |
---|---|---|---|
1174936090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZH0000X | Pathology - Hematology | 1082578A (Indiana) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 1082578A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
Jackson Hospital | Marianna, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ketchum Wood And Burgert Chartered Drs Ketchum Wood And Burgert | 4082708755 | 8 |
Entity Name | Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821060898 PECOS PAC ID: 4082708755 Enrollment ID: O20070926000270 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stephanie Anne Wolanin, MD 530 N. Lafayette Blvd, South Bend, IN 46601 Ph: (800) 544-0925 | Mrs Stephanie Anne Wolanin, MD 1899 Eider Ct, Tallahassee, FL 32308-4537 Ph: (850) 878-5143 |
Dr. Lisa M. Flannagan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1899 Eider Ct, Tallahassee, FL 32308 Phone: 850-878-5143 Fax: 850-942-6622 | |
Dr. Charles F. Manning Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1899 Eider Ct, Tallahassee, FL 32308 Phone: 850-878-5143 Fax: 850-942-6622 | |
Amanda Aronchick, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1899 Eider Ct, Tallahassee, FL 32308 Phone: 850-878-5143 Fax: 850-942-6622 | |
Dr. Lori Krevetski, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5888 Fax: 850-325-5173 | |
Dr. David J. Dolson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1708 Riggins Rd, Tallahassee, FL 32308 Phone: 850-877-4134 Fax: 850-402-9130 | |
John A Blackmon, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2400 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-877-2105 |