| Dr Patrick F Conrad, MD | |
|
2190 Highway 85 N, Niceville, FL 32578-1045 | |
| (850) 729-9490 | |
| (205) 437-5998 |
| Full Name | Dr Patrick F Conrad |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 2190 Highway 85 N, Niceville, 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 |
|---|---|---|---|
| 1205889524 | NPI | - | NPPES |
| 253012100 | Medicaid | FL | |
| 059185375 | Other | AL | BCBS PROVIDER NUMBER |
| 42539 | Other | FL | BCBS PROVIDER NUMBER |
| 253012101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME73998 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| George E Weems Memorial Hospital | Apalachicola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Hospitalist At Weems Pl | 2860667508 | 7 |
| Franklin County Board Of County Commissioners | 3274541115 | 17 |
| Entity Name | Northwest Florida Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336163708 PECOS PAC ID: 2668363771 Enrollment ID: O20050627000512 |
| Entity Name | Franklin County Board Of County Commissioners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033438627 PECOS PAC ID: 3274541115 Enrollment ID: O20110218000010 |
| Entity Name | Southland Hospitalist At Weems Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801170113 PECOS PAC ID: 2860667508 Enrollment ID: O20111208000449 |
| Entity Name | Southland Ems At Weems Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124302443 PECOS PAC ID: 8820263171 Enrollment ID: O20111214000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick F Conrad, MD Po Box 88490, Chicago, IL 60680-1490 Ph: (205) 437-6098 | Dr Patrick F Conrad, MD 2190 Highway 85 N, Niceville, FL 32578-1045 Ph: (850) 729-9490 |
Dr. James A Derby, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2190 Highway 85 N, Niceville, FL 32578 Phone: 850-678-4181 Fax: 850-729-9418 |