| Ellen B Rodman, DO | |
|
5151 N 9th Ave # Er, Pensacola, FL 32504-8721 | |
| (850) 416-7000 | |
| (850) 475-4781 |
| Full Name | Ellen B Rodman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 5151 N 9th Ave # Er, 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 |
|---|---|---|---|
| 1033149273 | NPI | - | NPPES |
| 256279100 | Medicaid | FL | |
| 46616 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS0007797 (Florida) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 1019935 (Massachusetts) | Primary |
| Entity Name | Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215948096 PECOS PAC ID: 6608854765 Enrollment ID: O20040713001524 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen B Rodman, DO Po Box 2699, Attn: Shmg/hpe, Pensacola, FL 32513-2699 Ph: (850) 416-7000 | Ellen B Rodman, DO 5151 N 9th Ave # Er, Pensacola, FL 32504-8721 Ph: (850) 416-7000 |
Elyse S Schrandt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-1575 | |
Prashanth Shanmugham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-4970 | |
Lisbeth Vernali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4785 N 9th Ave, Suite A, Pensacola, FL 32503 Phone: 850-478-7600 | |
Gulnur Com, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-1110 Fax: 850-416-1192 | |
John Frank Bullard Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2805 Bayou Blvd, Pensacola, FL 32503 Phone: 850-434-6881 Fax: 850-434-8999 | |
Mr. Roger C Clubbs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4951 Grande Dr, Pensacola, FL 32504 Phone: 850-473-0100 Fax: 850-473-0500 | |
Robert K Wilson Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5192 Bayou Blvd, Pensacola, FL 32503 Phone: 850-484-5040 Fax: 850-475-5527 |