| Dennis A Stewart, MD | |
|
369 N Main St, Crestview, FL 32536-3541 | |
| (850) 689-3123 | |
| (850) 689-1633 |
| Full Name | Dennis A Stewart |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 369 N Main St, Crestview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053467001 | NPI | - | NPPES |
| 1508911843 | Other | GROUP NPI | |
| K6357 | Other | FL | MEDICARE GROUP PTAN |
| 053717900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME59782 (Florida) | Primary |
| Entity Name | Crestview Hospital Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861441057 PECOS PAC ID: 3678472313 Enrollment ID: O20040123000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis A Stewart, MD 369 N Main St, Crestview, FL 32536-3541 Ph: (850) 689-3123 | Dennis A Stewart, MD 369 N Main St, Crestview, FL 32536-3541 Ph: (850) 689-3123 |
Marcello A Borzatta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2260 S Ferdon Blvd, Crestview, FL 32536 Phone: 850-849-1642 | |
Dr. Denise Anne Smith, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 332 Medcrest Dr, Crestview, FL 32536 Phone: 850-682-0032 Fax: 850-682-0034 | |
Thomas J Shaknovsky, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 214 Covell Rd, Crestview, FL 32539 Phone: 850-864-4005 | |
Dr. David Allen Herf, MD Surgery Medicare: Medicare Enrolled Practice Location: 435 Brookmeade Dr, Crestview, FL 32539 Phone: 850-682-0409 Fax: 850-689-1696 |