| Louis Profeta, MD | |
|
615 N Bonita Ave, Panama City, FL 32401-3623 | |
| (850) 769-1511 | |
| Not Available |
| Full Name | Louis Profeta |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 615 N Bonita Ave, Panama City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063506830 | NPI | - | NPPES |
| 100338950 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01041413 (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | ME164638 (Florida) | Primary |
| Entity Name | St. Vincent Emergency Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306891700 PECOS PAC ID: 1759363450 Enrollment ID: O20040720000734 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Profeta, MD 1601 Cummins Dr Ste D, Modesto, CA 95358-6411 Ph: () - | Louis Profeta, MD 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (850) 769-1511 |
Dr. Justin Strittmatter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Bonita Ave, Emergency Department, Panama City, FL 32401 Phone: 850-747-6000 Fax: 850-747-6323 | |
Dr. Michael A Samuels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 850-769-1511 | |
Steven Mark Weeks, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 449 W 23rd St, Panama City, FL 32405 Phone: 850-747-7900 | |
Huan Vu, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 888-313-5258 Fax: 205-313-5299 | |
Ata Ulhaq, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Forest Park Cir, Panama City, FL 32405 Phone: 850-248-7777 Fax: 850-248-7779 | |
Miss Brandy Nicole Milstead, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 850-747-6000 |