| Dr Jack E Ricketts, MD OBGYN | |
|
8333 N Davis Hwy Fl 7, Pensacola, FL 32514-6050 | |
| (850) 494-4600 | |
| (850) 969-2037 |
| Full Name | Dr Jack E Ricketts |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 44 Years |
| Location | 8333 N Davis Hwy Fl 7, Pensacola, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922184258 | NPI | - | NPPES |
| 202688602 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | R5C65 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | ME119487 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Florida Hospital | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Florida Internal Medicine Llc | 7214942283 | 8 |
| Entity Name | West Florida Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679555833 PECOS PAC ID: 7214942283 Enrollment ID: O20060213000253 |
| Entity Name | Ob Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack E Ricketts, MD OBGYN 8333 N Davis Hwy Fl 7, Pensacola, FL 32514-6050 Ph: (850) 969-2038 | Dr Jack E Ricketts, MD OBGYN 8333 N Davis Hwy Fl 7, Pensacola, FL 32514-6050 Ph: (850) 494-4600 |
Katrina Hatch, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1657 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-2400 Fax: 850-416-2330 | |
Dr. Jacqueline Christine Castagno, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2120 E Johnson Ave Ste 101, Pensacola, FL 32514 Phone: 850-494-4600 | |
Victor Fredrick Hultstrand, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-4000 | |
Rachel Reiss Cerone, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 125 Baptist Way Ste 5a, Pensacola, FL 32503 Phone: 448-227-6870 Fax: 850-432-7320 | |
Heidi Alexander, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1657 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-2400 Fax: 850-416-2330 | |
Elizabeth Danielle Wolfe, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1657 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-2400 Fax: 850-416-2330 | |
Courtney Mclain, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1657 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-2400 Fax: 850-416-2330 |