| Anchor Clinic | |
|
890 South Palafox Street Suite 300 Pensacola FL 32502 | |
| (850) 433-1656 | |
| (850) 433-1996 |
| Full Name | Anchor Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 890 South Palafox Street, Pensacola, Florida |
| Authorized Official Name and Position | Kevin N Groom (DIRECTOR) |
| Authorized Official Contact | 8504336760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Clinic 890 South Palafox Street Suite 300 Pensacola FL 32502 Ph: (850) 433-1656 | Anchor Clinic 890 South Palafox Street Suite 300 Pensacola FL 32502 Ph: (850) 433-1656 |
| NPI Number | 1629161435 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Medicare PECOS PAC ID | 8729183512 |
|---|---|
| Medicare Enrollment ID | O20070424000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629161435 | NPI | - | NPPES |
| Provider Name | Pashia D Groom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972696839 PECOS PAC ID: 9436053261 Enrollment ID: I20050329000327 |
| Provider Name | Robert J Rotunda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720172778 PECOS PAC ID: 4486699618 Enrollment ID: I20050628000235 |
| Provider Name | Shannon S Wright-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023101821 PECOS PAC ID: 9830125038 Enrollment ID: I20050711000369 |
| Provider Name | Susan L Speropulos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508950478 PECOS PAC ID: 7911911045 Enrollment ID: I20060127000609 |
| Provider Name | James L Igleburger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376504118 PECOS PAC ID: 3678593530 Enrollment ID: I20061207000020 |
| Provider Name | Kevin N Groom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184717027 PECOS PAC ID: 3072417807 Enrollment ID: I20070515000582 |
| Provider Name | Leif Erik Sternung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558356428 PECOS PAC ID: 1557426921 Enrollment ID: I20090218000491 |
| Provider Name | Cris W Jagar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538269121 PECOS PAC ID: 9830126820 Enrollment ID: I20130717000718 |
| Provider Name | Rohona Mascharak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003267386 PECOS PAC ID: 4789977547 Enrollment ID: I20160801002392 |
| Provider Name | Katelin Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194202614 PECOS PAC ID: 2062765407 Enrollment ID: I20210114000274 |
| Provider Name | William S Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053736116 PECOS PAC ID: 7517344039 Enrollment ID: I20220520002458 |
| Provider Name | Theresa Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255845392 PECOS PAC ID: 4082979711 Enrollment ID: I20220708002966 |
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