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 |
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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 |