Clarence Michael Hutto, NP | |
1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796 | |
(850) 863-8219 | |
(850) 863-8249 |
Full Name | Clarence Michael Hutto |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 1005 Mar Walt Drive, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245461508 | NPI | - | NPPES |
010403200 | Medicaid | FL | |
Y0KS7 | Other | FL | BCBSFL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP9171115 (Florida) | Primary |
Entity Name | White-wilson Medical Center Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467437277 PECOS PAC ID: 4082510607 Enrollment ID: O20031212000140 |
Mailing Address | Practice Location Address |
---|---|
Clarence Michael Hutto, NP 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796 Ph: (850) 863-8219 | Clarence Michael Hutto, NP 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796 Ph: (850) 863-8219 |
Celeste Ann Macdonald, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-431-6183 Fax: 850-431-6497 | |
Brittany Nicole Grimes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8100 Fax: 850-243-0594 | |
Sylvia Wages, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-226-6801 Fax: 877-413-5104 | |
Robert Nicholas Donofrio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7451 Fax: 850-833-7439 | |
Emily Herman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547 Phone: 850-862-2385 | |
Julie Clausen Powell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Cvs Minute Clinic, Fort Walton Beach, FL 32547 Phone: 850-863-8219 Fax: 850-863-8249 | |
Anne Marie Crow, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547 Phone: 850-243-0118 Fax: 850-243-0594 |