| West Florida Internal Medicine Llc | |
|
2120 E Johnson Ave Pensacola FL 32514-6028 | |
| (850) 494-3218 | |
| (866) 390-1343 |
| Full Name | West Florida Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2120 E Johnson Ave, Pensacola, Florida |
| Authorized Official Name and Position | Larissa Mccarthy (OFFICE MANAGER) |
| Authorized Official Contact | 8504943218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Florida Internal Medicine Llc 2120 E Johnson Ave Pensacola FL 32514-6028 Ph: (850) 494-3218 | West Florida Internal Medicine Llc 2120 E Johnson Ave Pensacola FL 32514-6028 Ph: (850) 494-3218 |
| NPI Number | 1679555833 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 7214942283 |
|---|---|
| Medicare Enrollment ID | O20060213000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679555833 | NPI | - | NPPES |
| 276659100 | Medicaid | FL |
| Provider Name | Julie A Decesare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831143940 PECOS PAC ID: 6901903384 Enrollment ID: I20070518000398 |
| Provider Name | Gina-marie Pearce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376524041 PECOS PAC ID: 1456492651 Enrollment ID: I20100111000331 |
| Provider Name | Victor F Hultstrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073707618 PECOS PAC ID: 4981877537 Enrollment ID: I20111027000439 |
| Provider Name | Jack E Ricketts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922184258 PECOS PAC ID: 9830175082 Enrollment ID: I20141217001114 |
| Provider Name | Joseph Cahill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346766 PECOS PAC ID: 7214160647 Enrollment ID: I20170111000708 |
| Provider Name | Suzanne Troup Duncan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285843185 PECOS PAC ID: 3274683164 Enrollment ID: I20170220000545 |
| Provider Name | Lindsey M Mcalpin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497194872 PECOS PAC ID: 0244504173 Enrollment ID: I20180919004291 |
| Provider Name | Dawn Hannah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700193364 PECOS PAC ID: 7315164431 Enrollment ID: I20200702000189 |
| Provider Name | Jason Gronert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184070823 PECOS PAC ID: 3173946050 Enrollment ID: I20200710001231 |
| Provider Name | Kristin Elaine Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265028260 PECOS PAC ID: 8527469386 Enrollment ID: I20210630002352 |
| Provider Name | Lisa M Jaacks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295785913 PECOS PAC ID: 1254337694 Enrollment ID: I20220805000228 |
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