| Jesse Blake Bauer, | |
|
1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | |
| (850) 431-0911 | |
| Not Available |
| Full Name | Jesse Blake Bauer |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 1300 Miccosukee Rd, Tallahassee, 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 |
|---|---|---|---|
| 1871024117 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tallahassee Memorial Healthcare Inc | 6103724778 | 436 |
| Tmh Emergency Physician Group | 8325317084 | 42 |
| Entity Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115948 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
| Entity Name | Tmh Emergency Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417483819 PECOS PAC ID: 8325317084 Enrollment ID: O20170712001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Blake Bauer, 1607 Saint James Ct Ste 1, Tallahassee, FL 32308-5352 Ph: (850) 431-7021 | Jesse Blake Bauer, 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 Ph: (850) 431-0911 |
Joel Holcombe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1309 Thomasville Road, Physician Billing Office, Tallahassee, FL 32303 Phone: 850-431-7289 Fax: 850-431-6975 | |
John Christopher Jusino, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1300 Miccosukee Rd, Bixler Emergency Center, Tallahassee, FL 32308 Phone: 850-431-0756 Fax: 850-431-0779 | |
Dr. Bansidas M Agravat, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-0756 Fax: 850-431-0779 | |
Matthew C Davis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Centerville Rd Ste 300, Tallahassee, FL 32308 Phone: 508-775-1158 Fax: 850-656-3645 | |
Dr. William David Nimmons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-510-5496 | |
Juvenal Havyarimana, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5000 | |
Fitz Blake Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, FL 32308 Phone: 850-431-0911 Fax: 850-431-0779 |