| Dr Gerald Anthony Mastaw Jr, MD | |
| 3997 Commons Dr W Ste M, Destin, FL 32541-8444 | |
| (850) 424-3769 | |
| (850) 460-2491 | 
| Full Name | Dr Gerald Anthony Mastaw Jr | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology - Pain Medicine | 
| Location | 3997 Commons Dr W Ste M, Destin, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316993454 | NPI | - | NPPES | 
| Entity Name | Anesthesia Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619269180 PECOS PAC ID: 1153590336 Enrollment ID: O20110803000873 | 
| Entity Name | Dynamic Pain & Wellness Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285007989 PECOS PAC ID: 8527364058 Enrollment ID: O20160310000011 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gerald Anthony Mastaw Jr, MD 495 Grand Blvd Ste 206, Miramar Beach, FL 32550-1897 Ph: (734) 389-5832 | Dr Gerald Anthony Mastaw Jr, MD 3997 Commons Dr W Ste M, Destin, FL 32541-8444 Ph: (850) 424-3769 | 
| Dr. Diane D Speedling, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-269-0301 Fax: 850-269-0203 | |
| Dr. David P. Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 Phone: 850-863-2153 | |
| Lori Lynn Poelstra, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Beach Dr Ste 200, Ste 200, Destin, FL 32541 Phone: 850-460-2350 Fax: 850-460-2351 | |
| Dr. Scott Haufe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3997 Commons Dr W, Ste M, Destin, FL 32541 Phone: 850-424-3769 Fax: 850-460-2491 | |
| Dr. Jimmy J.s. Lau, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 325 Tequesta Dr, Destin, FL 32541 Phone: 210-488-8203 |