Braden J Shaffer, APN | |
3871 E Highway 98 Ste 203, Port St Joe, FL 32456-5302 | |
(850) 229-5661 | |
(850) 229-5662 |
Full Name | Braden J Shaffer |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3871 E Highway 98 Ste 203, Port St Joe, 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 |
---|---|---|---|
1679030852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209018862 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11004356 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Hospital | Pensacola, FL | Hospital |
Ascension Sacred Heart Bay | Panama city, FL | Hospital |
Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
Jackson Hospital | Marianna, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sacred Heart Health System Inc | 3779491386 | 365 |
Entity Name | Sacred Heart Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Entity Name | Ascension Sacred Heart Gulf |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528336302 PECOS PAC ID: 9830231034 Enrollment ID: O20120302000494 |
Mailing Address | Practice Location Address |
---|---|
Braden J Shaffer, APN 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6014 | Braden J Shaffer, APN 3871 E Highway 98 Ste 203, Port St Joe, FL 32456-5302 Ph: (850) 229-5661 |
Nancy Phipps Anderson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3871 E Highway 98, Suite 203, Port St Joe, FL 32456 Phone: 850-229-5661 Fax: 850-229-5662 | |
Mrs. Christian Laine Cox, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-807-5104 | |
Monica Barfield, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Ms. Patricia A Hammonds, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456 Phone: 850-227-1276 Fax: 850-227-7587 | |
Mrs. Candi Calderon, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Amy E. Miller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Palm Blvd, Port St Joe, FL 32456 Phone: 850-296-0318 | |
Miss Emily Anne Tezak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 |