| Oaks Medical Center | |
|
114 Airport Rd Ste C Panama City FL 32405-4738 | |
| (850) 769-6105 | |
| Not Available |
| Full Name | Oaks Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 114 Airport Rd Ste C, Panama City, Florida |
| Authorized Official Name and Position | Marion J Mathews (PRESIDENT) |
| Authorized Official Contact | 8507696105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaks Medical Center 2655 Ferol Ln Lynn Haven FL 32444-3213 Ph: (850) 769-6105 | Oaks Medical Center 114 Airport Rd Ste C Panama City FL 32405-4738 Ph: (850) 769-6105 |
| NPI Number | 1063401701 |
|---|---|
| Provider Enumeration Date | 10/16/2005 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 5890878045 |
|---|---|
| Medicare Enrollment ID | O20080310000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063401701 | NPI | - | NPPES |
| 03345 | Other | FL | BC/BS FLORIDA |
| GROUP # CM0583 | Other | SC | RAIL ROAD MEDICARE |
| AH625 | Other | FL | MEDICARE PTAN |
| 3LSHB | Other | FL | FLORIDA BLUE-BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME26212 (Florida) | Primary |
| Provider Name | Marion Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134315823 PECOS PAC ID: 6800979154 Enrollment ID: I20080211000462 |
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