| Dr Samuel B Edelman, DO | |
|
5151 N 9th Ave, Pensacola, FL 32504-8721 | |
| (850) 416-4970 | |
| Not Available |
| Full Name | Dr Samuel B Edelman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5151 N 9th Ave, 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 |
|---|---|---|---|
| 1629064134 | NPI | - | NPPES |
| 1168602 | Medicaid | LA | |
| 003115568B | Medicaid | GA | |
| 154008 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | OS15663 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | OS008325L (Pennsylvania) | Primary |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel B Edelman, DO 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Dr Samuel B Edelman, DO 5151 N 9th Ave, Pensacola, FL 32504-8721 Ph: (850) 416-4970 |
Gary D Wright, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 | |
Dr. Richard Slevinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6670 Fax: 850-416-4694 | |
Ellen B Rodman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave # Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 | |
Dr. John L Reese, M. D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-4000 | |
Stephen Rohl, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-7000 | |
Dr. Timothy A Rak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6670 Fax: 850-416-4694 | |
Luis F Camero, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave # Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 |