Gulf Coast Podiatry, Pa | |
2507 Harrison Ave Unit 201, Panama City, FL 32405-4447 | |
(850) 769-0325 | |
(850) 769-4476 |
Full Name | Gulf Coast Podiatry, Pa |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2507 Harrison Ave Unit 201, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295745560 | NPI | - | NPPES |
45803 | Other | FL | BLUECROSSBLUESHIELD |
CK8386 | Other | FL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Secondary |
Provider Name | Adam J Peaden |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407179856 PECOS PAC ID: 4981896099 Enrollment ID: I20101007001000 |
Provider Name | Larry L Hodson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1003826306 PECOS PAC ID: 1951514488 Enrollment ID: I20110127001010 |
Provider Name | Shayne R Jensen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1134139454 PECOS PAC ID: 1951564582 Enrollment ID: I20120518000219 |
Mailing Address | Practice Location Address |
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Gulf Coast Podiatry, Pa 2507 Harrison Ave Unit 201, Panama City, FL 32405-4447 Ph: (850) 769-0325 | Gulf Coast Podiatry, Pa 2507 Harrison Ave Unit 201, Panama City, FL 32405-4447 Ph: (850) 769-0325 |
Dr. Larry Hodson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2201 Jenks Ave, Panama City, FL 32405 Phone: 850-769-0325 Fax: 850-769-4476 | |
Dr. Shayne Raymond Jensen, DPM, FACFAS Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2201 Jenks Ave, Panama City, FL 32405 Phone: 850-769-0325 Fax: 850-769-4476 | |
Daniel E Feitz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2424 Frankford Ave, Panama City, FL 32405 Phone: 850-784-9787 Fax: 850-784-9619 | |
Dr. Robert W Stiegler Jr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2424 Frankford Ave, Panama City, FL 32405 Phone: 850-784-9787 Fax: 850-784-9619 | |
Dr. Kiran K Nanji, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2430 Jenks Ave, Panama City, FL 32405 Phone: 850-763-7244 Fax: 850-763-0157 | |
Dr. Adam Joseph Peaden, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2507 Harrison Ave Unit 201, Panama City, FL 32405 Phone: 850-769-0325 Fax: 850-769-4476 |