Tamika D Ussery-freeman, MD | |
550 Redstone Ave W Ste 390, Crestview, FL 32536-6434 | |
(850) 683-5100 | |
(850) 683-5102 |
Full Name | Tamika D Ussery-freeman |
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Gender | Female |
Speciality | Pediatrics |
Location | 550 Redstone Ave W Ste 390, Crestview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629045521 | NPI | - | NPPES |
406306123A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 052846 (Georgia) | Secondary |
208000000X | Pediatrics | ME114418 (Florida) | Primary |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Mount Lassen Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730598590 PECOS PAC ID: 6305160227 Enrollment ID: O20150126001140 |
Mailing Address | Practice Location Address |
---|---|
Tamika D Ussery-freeman, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6014 | Tamika D Ussery-freeman, MD 550 Redstone Ave W Ste 390, Crestview, FL 32536-6434 Ph: (850) 683-5100 |
Dr. Sharon Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531 | |
Dr. Heather Lynn Macadam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd Ste C5, Crestview, FL 32536 Phone: 850-682-1164 Fax: 850-682-5302 | |
J. Enrique Lujan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531 | |
William Scott Wakefield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 332 Medcrest Dr, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102 |