| David L Tenniswood, MD | |
|
619 N Cove Blvd, Panama City, FL 32401-3642 | |
| (850) 913-6960 | |
| (850) 913-6961 |
| Full Name | David L Tenniswood |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 619 N Cove Blvd, Panama City, 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 |
|---|---|---|---|
| 1184674624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0428049 (Kansas) | Secondary |
| 208600000X | Surgery | ME108539 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health System, Inc | 5799763074 | 18 |
| Entity Name | Sacred Heart Health System, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902857352 PECOS PAC ID: 5799763074 Enrollment ID: O20040713000147 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| 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 |
|---|---|
| David L Tenniswood, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6014 | David L Tenniswood, MD 619 N Cove Blvd, Panama City, FL 32401-3642 Ph: (850) 913-6960 |
George Erwin Reiss, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 740 Harrison Ave, Panama City, FL 32401 Phone: 850-785-3232 Fax: 850-747-8648 | |
Dr. Raymond A Mockler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Airport Rd, Panama City, FL 32405 Phone: 850-769-7270 Fax: 850-769-7229 | |
Howell Ross Fishel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2407 Ruth Hentz Avenue, Panama City, FL 32405 Phone: 850-522-5022 Fax: 601-984-5110 | |
Dr. Norman Alex Jones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2407 Ruth Hentz Ave, Panama City, FL 32405 Phone: 850-522-5022 Fax: 850-387-0807 | |
Katharina Pellegrin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. Rebecca Suzanne Hysong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. John J Richards, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1008 Jenks Ave, Panama City, FL 32401 Phone: 850-215-3000 Fax: 850-215-3150 |