| Gary Gotthelf, M.d., P.a. | |
|
4511 N Davis Hwy 1-c Pensacola FL 32503-2720 | |
| (850) 477-3252 | |
| (850) 477-2659 |
| Full Name | Gary Gotthelf, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4511 N Davis Hwy, Pensacola, Florida |
| Authorized Official Name and Position | Gary Gotthelf (PRESIDENT) |
| Authorized Official Contact | 8504773252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Gotthelf, M.d., P.a. 4511 N Davis Hwy 1-c Pensacola FL 32503-2720 Ph: (850) 477-3252 | Gary Gotthelf, M.d., P.a. 4511 N Davis Hwy 1-c Pensacola FL 32503-2720 Ph: (850) 477-3252 |
| NPI Number | 1023000817 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 01/31/2014 |
| Medicare PECOS PAC ID | 2466352224 |
|---|---|
| Medicare Enrollment ID | O20040109000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023000817 | NPI | - | NPPES |
| 17449 | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME35416 (Florida) | Primary |
| Provider Name | Adam Peter Tarnosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578514915 PECOS PAC ID: 0749256865 Enrollment ID: I20040909000301 |
| Provider Name | Gary Gotthelf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932102746 PECOS PAC ID: 3971403742 Enrollment ID: I20070313000278 |
| Provider Name | William Shanahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649262510 PECOS PAC ID: 5890837397 Enrollment ID: I20100121000621 |
| Provider Name | Maureen O Padden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679547178 PECOS PAC ID: 8426239328 Enrollment ID: I20110225000281 |
| Provider Name | Kacey Cotoli Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366640310 PECOS PAC ID: 4082891395 Enrollment ID: I20110613000691 |
| Provider Name | Carie A Fletcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679558795 PECOS PAC ID: 3476725839 Enrollment ID: I20111006000327 |
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