Dr Nina J Gawlik, PSYD | |
7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 | |
(850) 863-2873 | |
Not Available |
Full Name | Dr Nina J Gawlik |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 7 Vine Ave Ne, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134280266 | NPI | - | NPPES |
2084230 | Other | FL | CIGNA BEHAVIORAL HEALTH |
21213818656 | Other | FL | BEECH STREET CORPORTION |
54731 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY6318 (Florida) | Primary |
Entity Name | Ppcc, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164747739 PECOS PAC ID: 3870627284 Enrollment ID: O20100819000919 |
Mailing Address | Practice Location Address |
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Dr Nina J Gawlik, PSYD 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 Ph: (850) 863-2873 | Dr Nina J Gawlik, PSYD 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 Ph: (850) 863-2873 |
Catherine Rose Michas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 235 Carmel Dr, Fort Walton Beach, FL 32547 Phone: 850-862-3141 Fax: 850-862-7732 | |
Wayne Cammer Richard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 235 Carmel Dr, Fort Walton Beach, FL 32547 Phone: 850-862-3141 Fax: 850-862-7732 | |
Mrs. Lynda E Bolt, LMHC Psychologist Medicare: Medicare Enrolled Practice Location: 68 Sw Beal Parkway, Fort Walton Beach, FL 32548 Phone: 850-243-7035 Fax: 850-243-8529 | |
Dr. Tracey J Griffin, ED.D, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 116 Maurice Ave Nw, Fort Walton Beach, FL 32548 Phone: 229-237-2960 | |
Elizabeth Ann Michas, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 814 Shadow Ln Ste B, Fort Walton Beach, FL 32547 Phone: 850-862-3141 Fax: 850-862-7732 | |
Dr. Zachary Clark Bayer, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3 Vine Ave Ne, Fort Walton Beach, FL 32548 Phone: 850-226-7666 Fax: 850-226-7499 |