Thomas J Shaknovsky, DO | |
214 Covell Rd, Crestview, FL 32539-6060 | |
(850) 864-4005 | |
Not Available |
Full Name | Thomas J Shaknovsky |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 214 Covell Rd, Crestview, 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 |
---|---|---|---|
1568690014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25MA09329900 (New Jersey) | Secondary |
208C00000X | Colon & Rectal Surgery | 16658 (Florida) | Secondary |
208600000X | Surgery | OS16658 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Twin Cities Hospital | Niceville, FL | Hospital |
Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesiscare Usa Of Florida Llc | 9830082882 | 237 |
Entity Name | Genesiscare Usa Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Entity Name | Fresenius Vascular Care Pensacola Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285031963 PECOS PAC ID: 0547549263 Enrollment ID: O20161119000176 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Shaknovsky, DO Po Box 419076, Boston, MA 02241-9076 Ph: (610) 644-8900 | Thomas J Shaknovsky, DO 214 Covell Rd, Crestview, FL 32539-6060 Ph: (850) 864-4005 |
Dennis A Stewart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 369 N Main St, Crestview, FL 32536 Phone: 850-689-3123 Fax: 850-689-1633 | |
Marcello A Borzatta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2260 S Ferdon Blvd, Crestview, FL 32536 Phone: 850-849-1642 | |
Dr. David Allen Herf, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 Brookmeade Dr, Crestview, FL 32539 Phone: 850-682-0409 Fax: 850-689-1696 |