| Nicholas Brantley Sr, | |
|
5524 Mars Hill Ln, Panama City, FL 32404-4327 | |
| (727) 804-8193 | |
| Not Available |
| Full Name | Nicholas Brantley Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5524 Mars Hill Ln, Panama City, 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 |
|---|---|---|---|
| 1942891569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11010854 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dynamic Pain And Wellness Pllc | 8527364058 | 38 |
| Entity Name | Dynamic Pain & Wellness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285007989 PECOS PAC ID: 8527364058 Enrollment ID: O20160310000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Brantley Sr, 5524 Mars Hill Ln, Panama City, FL 32404-4327 Ph: (727) 804-8193 | Nicholas Brantley Sr, 5524 Mars Hill Ln, Panama City, FL 32404-4327 Ph: (727) 804-8193 |
Kaylyn Marie Khan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3808 E 3rd St, Panama City, FL 32401 Phone: 850-785-9511 Fax: 850-763-9494 | |
Mrs. Elizabeth Ruth Doss, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Janine Jones, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 850-769-1511 | |
Kimberly Mcconnell, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 E 23rd St, Panama City, FL 32405 Phone: 850-769-0338 Fax: 850-640-2195 | |
Mrs. Linda Jolene Gemsch, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2420 Jenks Ave, Suite 5, Panama City, FL 32405 Phone: 850-763-3635 Fax: 850-770-3265 | |
Mrs. Suzanne Selley Martincak, CNM, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5610 Highway 2297, Panama City, FL 32404 Phone: 850-387-5111 Fax: 850-252-6166 | |
Ms. Waneda Kay Wolfe, M.N., C.N.S., A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Doctors Dr Ste C, Panama City, FL 32405 Phone: 850-814-8400 Fax: 850-215-8405 |