Dr Feguens Joseph Bataille, MD | |
348 Miracle Strip Pkwy Sw Ste 16a, Fort Walton Beach, FL 32548 | |
(412) 901-1250 | |
Not Available |
Full Name | Dr Feguens Joseph Bataille |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 348 Miracle Strip Pkwy Sw Ste 16a, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942478581 | NPI | - | NPPES |
0109312 | Medicaid | OH | |
1026242300001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | ME135385 (Florida) | Secondary |
208100000X | Physical Medicine & Rehabilitation | ME135385 (Florida) | Primary |
Entity Name | North Brevard Medical Support Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385 |
Mailing Address | Practice Location Address |
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Dr Feguens Joseph Bataille, MD 4320 Commons Dr W Unit 2216, Destin, FL 32541-8648 Ph: (412) 901-1250 | Dr Feguens Joseph Bataille, MD 348 Miracle Strip Pkwy Sw Ste 16a, Fort Walton Beach, FL 32548 Ph: (412) 901-1250 |
Sarah Shepherd, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 516 Sheffield Rd, Fort Walton Beach, FL 32547 Phone: 850-533-6150 | |
Giovanna Hoyos, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 405 Racetrack Rd Ne Ste 101, Fort Walton Beach, FL 32547 Phone: 850-863-4747 |