| Mr Wayde Tucker Retherford, | |
|
4318 5th Ave, Marianna, FL 32446-2182 | |
| (850) 526-5300 | |
| (850) 526-2001 |
| Full Name | Mr Wayde Tucker Retherford |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 4318 5th Ave, Marianna, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861952624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME152692 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emerald Coast Hospice | Panama city, FL | Hospice |
| Santa Rosa Medical Center | Milton, FL | Hospital |
| Jackson Hospital | Marianna, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santa Rosa Hb Medical Services Llc | 4284089335 | 26 |
| Er Physician Group At Jackson Hospital | 8729059472 | 102 |
| Entity Name | Er Physician Group At Jackson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407801194 PECOS PAC ID: 8729059472 Enrollment ID: O20040804001770 |
| Entity Name | Santa Rosa Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982384988 PECOS PAC ID: 4284089335 Enrollment ID: O20231010004073 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wayde Tucker Retherford, 4250 Hospital Dr, Marianna, FL 32446-1917 Ph: (850) 526-2200 | Mr Wayde Tucker Retherford, 4318 5th Ave, Marianna, FL 32446-2182 Ph: (850) 526-5300 |
Dr. Jirayos Chintanadilok, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4296 5th Avenue, Marianna, FL 32446 Phone: 850-482-2061 Fax: 850-482-6617 | |
Dr. Richard M Christopher Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4318 5th Ave, Marianna, FL 32446 Phone: 850-526-5300 Fax: 850-482-5021 | |
Mechelle L Moody, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4970 Highway 90, Marianna, FL 32446 Phone: 850-718-5620 Fax: 850-718-5670 | |
Mr. John Joseph Nanfro, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4230 Hospital Dr, Ste 101, Marianna, FL 32446 Phone: 850-526-7607 Fax: 850-526-5021 | |
Dr. Steven Walter Spence, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4318 5th Ave, Marianna, FL 32446 Phone: 850-526-5300 Fax: 850-482-5021 | |
Dr. John Garmany Brunner, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Hospital Dr Ste 210, Marianna, FL 32446 Phone: 850-526-6735 Fax: 850-633-5912 | |
Dr. Joe Howard Gay, MEDICAL DOCTOR Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4215 Kelson Ave, Suite E, Marianna, FL 32446 Phone: 850-526-3434 Fax: 850-526-7743 |