Jessica R Tate, MD | |
15 Daniel Dr, Gulf Breeze, FL 32561-4418 | |
(850) 746-0280 | |
(850) 746-0281 |
Full Name | Jessica R Tate |
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Gender | Female |
Speciality | Pediatrics |
Location | 15 Daniel Dr, Gulf Breeze, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104267871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME129054 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Jessica R Tate, MD 15 Daniel Dr Fl 1, Gulf Breeze, FL 32561-4418 Ph: (850) 746-0280 | Jessica R Tate, MD 15 Daniel Dr, Gulf Breeze, FL 32561-4418 Ph: (850) 746-0280 |
Brandy J. Boutin, Pediatrics Medicare: Medicare Enrolled Practice Location: 204 Center St, Gulf Breeze, FL 32561 Phone: 850-932-5348 Fax: 850-932-7740 | |
Mr. Randall E Reese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1368 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-934-9876 Fax: 850-916-0736 | |
Katherine Seipel Crawford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Daniel Dr, Gulf Breeze, FL 32561 Phone: 850-932-5348 Fax: 850-932-7740 | |
Dr. Paul Stephen Berger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 Bay Cliffs Rd, Gulf Breeze, FL 32561 Phone: 850-207-1555 | |
Mrs. Pamela M Klein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1368 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-934-9876 Fax: 850-916-0736 | |
Jami Steinmetz, CPNP Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Daniel Cir, Gulf Breeze, FL 32561 Phone: 850-735-3376 Fax: 559-201-1269 |