| Maciej Tumiel Md Pa | |
|
2101 Northside Dr Unit 603 Panama City FL 32405-3685 | |
| (850) 784-8007 | |
| (850) 784-1090 |
| Full Name | Maciej Tumiel Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2101 Northside Dr, Panama City, Florida |
| Authorized Official Name and Position | Maciej Tumiel (PRESIDENT) |
| Authorized Official Contact | 8507848007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maciej Tumiel Md Pa Po Box 527 Panama City FL 32402-0527 Ph: (850) 784-8007 | Maciej Tumiel Md Pa 2101 Northside Dr Unit 603 Panama City FL 32405-3685 Ph: (850) 784-8007 |
| NPI Number | 1568483246 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365424637 |
|---|---|
| Medicare Enrollment ID | O20040602000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568483246 | NPI | - | NPPES |
| 25746 | Other | FL | BCBS FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME66733 (Florida) | Primary |
| Provider Name | Maciej Tumiel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477514024 PECOS PAC ID: 4880676089 Enrollment ID: I20070514000453 |
| Provider Name | Kristen W Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363282 PECOS PAC ID: 6406170224 Enrollment ID: I20150126001627 |
| Provider Name | Monica Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336599356 PECOS PAC ID: 7315232857 Enrollment ID: I20160823003101 |
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