| Mrs Tammy G Pruse, DO | |
|
3874 Highway 90 Ste 101, Pace, FL 32571-1014 | |
| (850) 908-2315 | |
| (850) 908-2307 |
| Full Name | Mrs Tammy G Pruse |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 3874 Highway 90 Ste 101, Pace, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356336812 | NPI | - | NPPES |
| 264519000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS 8320 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Home Health Care | Pensacola, FL | Home health agency |
| Baptist Hospital | Pensacola, FL | Hospital |
| Gulf Breeze Hospital | Gulf breeze, FL | Hospital |
| Santa Rosa Medical Center | Milton, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Medical Group Llc | 9638215734 | 231 |
| Entity Name | Baptist Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376779892 PECOS PAC ID: 9638215734 Enrollment ID: O20091002000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tammy G Pruse, DO Po Box 95590, South Jordan, UT 84095-0590 Ph: (801) 352-9500 | Mrs Tammy G Pruse, DO 3874 Highway 90 Ste 101, Pace, FL 32571-1014 Ph: (850) 908-2315 |
Sarah Marie Hicks, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3754 Highway 90 Ste 300, Pace, FL 32571 Phone: 850-746-0130 Fax: 850-746-0131 | |
Dr. Matthew G. Kinzelman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3754 Highway 90, 200, Pace, FL 32571 Phone: 850-416-5200 Fax: 850-416-5201 | |
Dr. Benjamin Louis Konell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4262 Woodbine Rd, Pace, FL 32571 Phone: 850-494-4600 | |
Andrew Dean Henson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3754 Highway 90 Ste 200, Pace, FL 32571 Phone: 850-416-5200 Fax: 850-416-5201 | |
Dr. Joshua Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3874 Highway 90, Pace, FL 32571 Phone: 850-995-4244 Fax: 850-995-9188 | |
Bradley Brain Hawkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4435 Highway 90, Pace, FL 32571 Phone: 850-416-5205 Fax: 850-416-5204 |