| Dr Stephen R Gilmore, MD | |
|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
| (850) 863-7607 | |
| (205) 437-5998 |
| Full Name | Dr Stephen R Gilmore |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 52 Years |
| Location | 1000 Mar Walt Dr, Fort Walton Beach, 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 |
|---|---|---|---|
| 1427016732 | NPI | - | NPPES |
| 78881 | Other | FL | BCBS PROVIDER NUMBER |
| P00723096 | Other | FL | RAILROAD MEDICARE |
| 059187377 | Other | AL | BCBS PROVIDER NUMBER |
| 059189324 | Other | AL | BCBS PROVIDER NUMBER |
| 269107800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME82778 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 471 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen R Gilmore, MD Po Box 88452, Chicago, IL 60680-1452 Ph: (205) 437-6098 | Dr Stephen R Gilmore, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7607 |
Mrs. Andrea M Person, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Dr. Michael C Williams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Paula S Wadbrook, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Lon A Boutiette, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. William Mendoza, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Jason H Adams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Grady L Burleson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 |