| Infectious Disease Group, Pa | |
|
5120 Bayou Blvd Ste 11 Pensacola FL 32503-2135 | |
| (850) 432-3692 | |
| (850) 332-6445 |
| Full Name | Infectious Disease Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5120 Bayou Blvd Ste 11, Pensacola, Florida |
| Authorized Official Name and Position | Kristin Austin (OFFICE MANAGER) |
| Authorized Official Contact | 8504323692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Group, Pa 5120 Bayou Blvd Ste 11 Pensacola FL 32503-2135 Ph: (850) 432-3692 | Infectious Disease Group, Pa 5120 Bayou Blvd Ste 11 Pensacola FL 32503-2135 Ph: (850) 432-3692 |
| NPI Number | 1235218405 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 9537197074 |
|---|---|
| Medicare Enrollment ID | O20050727000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235218405 | NPI | - | NPPES |
| 377030300 | Medicaid | FL | |
| 529502140 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Florida) | Primary |
| Provider Name | David A Daley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790869006 PECOS PAC ID: 3779511217 Enrollment ID: I20050727000367 |
| Provider Name | James Sidney Clements |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386728780 PECOS PAC ID: 3072541515 Enrollment ID: I20100830000240 |
| Provider Name | Jay Roger Erickson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932283231 PECOS PAC ID: 1658495536 Enrollment ID: I20100830000251 |
| Provider Name | Tanner C Eiden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235425158 PECOS PAC ID: 9436372364 Enrollment ID: I20140522001235 |
| Provider Name | Edin Pujagic |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285085399 PECOS PAC ID: 2860787850 Enrollment ID: I20210823000585 |
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