| Michas, Valentine & Gill, Psychiatric Associates, P.a. | |
|
235 Carmel Dr Fort Walton Beach FL 32547-1957 | |
| (850) 862-3141 | |
| (850) 862-7732 |
| Full Name | Michas, Valentine & Gill, Psychiatric Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 235 Carmel Dr, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Catherine Rose Michas (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8508623141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michas, Valentine & Gill, Psychiatric Associates, P.a. 235 Carmel Dr Fort Walton Beach FL 32547-1957 Ph: (850) 862-3141 | Michas, Valentine & Gill, Psychiatric Associates, P.a. 235 Carmel Dr Fort Walton Beach FL 32547-1957 Ph: (850) 862-3141 |
| NPI Number | 1366468654 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6305890237 |
|---|---|
| Medicare Enrollment ID | O20050303000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366468654 | NPI | - | NPPES |
| 00370 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | George A Michas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003834805 PECOS PAC ID: 3274545355 Enrollment ID: I20100611000071 |
| Provider Name | Elizabeth A Michas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548289234 PECOS PAC ID: 0244425023 Enrollment ID: I20101108000359 |
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