| Season Manuel, | |
|
4400 E Highway 20 Ste 313, Niceville, FL 32578-7700 | |
| (850) 797-2598 | |
| (850) 807-5127 |
| Full Name | Season Manuel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4400 E Highway 20 Ste 313, Niceville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801580931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11026619 (Florida) | Primary |
| Entity Name | Bluewater Behavioral Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922562628 PECOS PAC ID: 3274873435 Enrollment ID: O20190326000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Season Manuel, 24555 Us Highway 331 S Unit E306, Santa Rosa Beach, FL 32459-6199 Ph: (901) 334-7378 | Season Manuel, 4400 E Highway 20 Ste 313, Niceville, FL 32578-7700 Ph: (850) 797-2598 |
Mrs. Misti D Schneidewind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Oakwood Cir, Niceville, FL 32578 Phone: 850-897-4547 Fax: 850-897-4547 | |
Rachel Alexandra Marshall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20 Ste A, Niceville, FL 32578 Phone: 850-897-0110 Fax: 850-897-1626 | |
Shawn M. Lee, ACNP-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 E Highway 20, Niceville, FL 32578 Phone: 508-863-8219 Fax: 850-863-8249 | |
Elaine Peacock, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4562 E Highway 20, Niceville, FL 32578 Phone: 850-897-8550 | |
Holly Dawn Graves, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1394 John Sims Pkwy E, Niceville, FL 32578 Phone: 850-517-1920 Fax: 850-517-1950 | |
Kellie Kaiser Brock, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1571 Lakeside Dr, Niceville, FL 32578 Phone: 713-582-0937 | |
Ms. Mauricia Dora Stanton, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 College Blvd West, Suite B, Niceville, FL 32578 Phone: 850-279-6815 |