| Dr Brent W Chapman, MD | |
|
3799 Us Hwy 98, Port St Joe, FL 32456 | |
| (850) 229-5667 | |
| (850) 229-5615 |
| Full Name | Dr Brent W Chapman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Interventional Cardiology |
| Location | 3799 Us Hwy 98, Port St Joe, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740240175 | NPI | - | NPPES |
| 1740240175 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | ME124861 (Florida) | Primary |
| 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 |
| Entity Name | Ascension Sacred Heart Gulf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528336302 PECOS PAC ID: 9830231034 Enrollment ID: O20120302000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent W Chapman, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Dr Brent W Chapman, MD 3799 Us Hwy 98, Port St Joe, FL 32456 Ph: (850) 229-5667 |
James Mcmillen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 311 Triton St, Port St Joe, FL 32456 Phone: 816-344-9015 | |
Susan Howard Culverhouse, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 E Highway 98, Port St Joe, FL 32456 Phone: 850-932-3426 |