| Dr Richard John Waclawski, MD | |
|
340 Hulse Rd, Pensacola, FL 32508-1089 | |
| (850) 452-2458 | |
| Not Available |
| Full Name | Dr Richard John Waclawski |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 340 Hulse Rd, Pensacola, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568429306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 23560 (Nebraska) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Orion Anesthesia Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649585001 PECOS PAC ID: 5092904946 Enrollment ID: O20110107001055 |
| Entity Name | First Choice Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard John Waclawski, MD 4350 Rawhide Way, Oceanside, CA 92057-6507 Ph: (760) 967-6459 | Dr Richard John Waclawski, MD 340 Hulse Rd, Pensacola, FL 32508-1089 Ph: (850) 452-2458 |
Anne Davidson Ward, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 760 East Ave Bldg 3911, Pensacola, FL 32508 Phone: 850-505-7308 | |
Dr. Scott Harley, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 790 Veterans Way, Pensacola, FL 32507 Phone: 850-912-2163 | |
Dr. Cynthia Rose Corona, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6000 W Highway 98, Pensacola, FL 32512 Phone: 850-505-6836 | |
Dr. Widalys Santiago Miranda, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 140 W Government St, Pensacola, FL 32502 Phone: 918-616-3366 | |
Dr. Deno Dustin Rolin, MD, DNP, APRN General Practice Medicare: Accepting Medicare Assignments Practice Location: 8100 N Davis Hwy, Pensacola, FL 32514 Phone: 866-389-2727 | |
Dr. Jessica R Le Noue, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 760 East Ave, Pensacola, FL 32508 Phone: 850-452-8970 | |
Tamara Wilson Cisnero, M.D General Practice Medicare: Medicare Enrolled Practice Location: 1741 E Nine Mile Rd Ste 5, Pensacola, FL 32514 Phone: 850-462-9387 Fax: 850-462-9389 |