| Dr David Wayne Stephenson, MD | |
|
9202 Nw 26th St, Wildwood, FL 34785-7413 | |
| (352) 812-0579 | |
| (352) 571-4349 |
| Full Name | Dr David Wayne Stephenson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 9202 Nw 26th St, Wildwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093983157 | NPI | - | NPPES |
| 14F4L | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME106525 (Florida) | Primary |
| Entity Name | Cogent Healthcare Of Pensacola Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346287182 PECOS PAC ID: 1153226766 Enrollment ID: O20031205000170 |
| Entity Name | Promise Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043560832 PECOS PAC ID: 7113177304 Enrollment ID: O20121024000529 |
| Entity Name | Inpatient Care Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679817134 PECOS PAC ID: 0345493623 Enrollment ID: O20130117000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Wayne Stephenson, MD 9202 Nw 26th St, Wildwood, FL 34785-7413 Ph: (352) 812-0579 | Dr David Wayne Stephenson, MD 9202 Nw 26th St, Wildwood, FL 34785-7413 Ph: (352) 812-0579 |
Dr. Christopher Michael Minello, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5437 E Sr 44, Wildwood, FL 34748 Phone: 352-787-1324 Fax: 352-365-1003 | |
Sagar Ranka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5575 E Sr 44, Wildwood, FL 34785 Phone: 352-571-4418 |