| Kenneth V Brummel-smith, MD | |
|
4449 Meandering Way, Fsu Seniorhealth At Wok, Tallahassee, FL 32308-5740 | |
| (850) 644-1543 | |
| (850) 645-0577 |
| Full Name | Kenneth V Brummel-smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 4449 Meandering Way, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609868900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ME89569 (Florida) | Primary |
| Entity Name | Acv Community Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174630693 PECOS PAC ID: 3476462078 Enrollment ID: O20040402000091 |
| Entity Name | Florida Medical Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326386293 PECOS PAC ID: 3971608993 Enrollment ID: O20070420000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth V Brummel-smith, MD 1115 W Call St, Suite 1121c, Tallahassee, FL 32306-4300 Ph: (850) 645-9350 | Kenneth V Brummel-smith, MD 4449 Meandering Way, Fsu Seniorhealth At Wok, Tallahassee, FL 32308-5740 Ph: (850) 644-1543 |
Lucille T Saha, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308 Phone: 850-878-5310 Fax: 850-878-4483 | |
Stewart Drew Warren, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5741 Fax: 850-431-6403 | |
Dr. Christopher W Delisle, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Learning Way, Tallahassee, FL 32306 Phone: 850-644-6230 Fax: 850-644-4251 | |
Dr. Leslie S Emhof, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Killearn Center Blvd, Tallahassee, FL 32309 Phone: 850-893-6706 Fax: 850-893-2846 | |
Victoria Roy Bates, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1491 Governors Square Blvd, Tallahassee, FL 32301 Phone: 850-383-3300 Fax: 850-523-7490 | |
Holly Klopfenstein, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5714 Fax: 850-431-6403 | |
Moritz Eduard Dehler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2140 Centerville Pl, Tallahassee, FL 32308 Phone: 850-383-3300 Fax: 850-383-3497 |