Tayt Ellison, MD | |
307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | |
(850) 883-8345 | |
Not Available |
Full Name | Tayt Ellison |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194185231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | ME158222 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Tayt Ellison, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: () - | Tayt Ellison, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8345 |
Dr. Charles D Williams Sr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8221 Fax: 850-883-8133 | |
Dr. George A Cibulas Ii, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Dr. Hannah Morehouse, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8282 | |
Colton Robert-jesse Webber, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8132 | |
Dr. Kimberly K Broughton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Mr. John Thomas Friedland, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 210-441-0838 |