| Clark Reed Stream, PA-C | |
|
120 N Richard Jackson Blvd Ste 140, Panama City Beach, FL 32407-2522 | |
| (850) 532-6168 | |
| (850) 532-6568 |
| Full Name | Clark Reed Stream |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 120 N Richard Jackson Blvd Ste 140, Panama City Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578509386 | NPI | - | NPPES |
| 290567101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9100951 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA9100951 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Coast Multispeciality Services, Llc | 2466555339 | 16 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Reed Stream, PA-C 120 N Richard Jackson Blvd Ste 140, Panama City Beach, FL 32407-2522 Ph: (505) 326-1688 | Clark Reed Stream, PA-C 120 N Richard Jackson Blvd Ste 140, Panama City Beach, FL 32407-2522 Ph: (850) 532-6168 |
Charli Elizabeth Cubbage, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 15415 Panama City Beach Pkwy, Panama City Beach, FL 32413 Phone: 850-588-3589 | |
Alysabeth Vititoe Holmes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Oxford Ave, Panama City Beach, FL 32413 Phone: 706-765-8809 | |
Guy Alvin Crawford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11111 Highway 98 East, Panama City Beach, FL 32407 Phone: 850-236-8655 | |
Mrs. Tephanie D Soderstrom, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16900 Front Beach Rd, Panama City Beach, FL 32413 Phone: 850-234-1898 Fax: 850-234-7670 | |
Mr. William F Shipman Iii, P A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11111 Panama City Beach Pkwy, Panama City Beach, FL 32407 Phone: 850-769-0329 Fax: 850-914-7045 | |
Mrs. Amanda Shianne Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9961 E County Highway 30a, Ste 5, Panama City Beach, FL 32461 Phone: 850-231-9286 Fax: 850-231-9286 |