Tayt Ellison, MD | |
615 N Bonita Ave, Panama City, FL 32401-3623 | |
(850) 769-1511 | |
Not Available |
Full Name | Tayt Ellison |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 615 N Bonita Ave, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194185231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | ME158222 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Tayt Ellison, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Tayt Ellison, MD 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (850) 769-1511 |
John R Cotton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1827 Harrison Ave, Panama City, FL 32405 Phone: 850-785-4344 Fax: 850-785-0842 | |
Katelynn Taylor Andreen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 801 E 6th St Ste 602, Panama City, FL 32401 Phone: 850-416-6933 | |
Joseph Patrick Grace, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1827 Harrison Ave, Panama City, FL 32405 Phone: 850-769-3574 Fax: 850-763-7979 | |
Dr. Aaron Eugene Barrow, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4121 W Highway 98, Panama City, FL 32401 Phone: 850-804-3850 | |
Daniel Drake Satterfield, PA Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1827 Harrison Ave, Panama City, FL 32405 Phone: 850-785-4344 | |
Dr. Mark Ngu Awantang, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1827 Harrison Ave, Panama City, FL 32405 Phone: 850-522-4263 Fax: 850-785-9681 |