| Tamika D Ussery-freeman, MD | |
|
550 Redstone Ave W Ste 390, Crestview, FL 32536-6434 | |
| (850) 683-5100 | |
| (850) 683-5102 |
| Full Name | Tamika D Ussery-freeman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 550 Redstone Ave W Ste 390, Crestview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629045521 | NPI | - | NPPES |
| 406306123A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 052846 (Georgia) | Secondary |
| 208000000X | Pediatrics | ME114418 (Florida) | Primary |
| Entity Name | Baptist Physician Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235128646 PECOS PAC ID: 3577518398 Enrollment ID: O20050315000387 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| 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 |
|---|---|
| Tamika D Ussery-freeman, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6014 | Tamika D Ussery-freeman, MD 550 Redstone Ave W Ste 390, Crestview, FL 32536-6434 Ph: (850) 683-5100 |
Dr. Sharon Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531 | |
Dr. Heather Lynn Macadam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd Ste C5, Crestview, FL 32536 Phone: 850-682-1164 Fax: 850-682-5302 | |
J. Enrique Lujan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531 | |
William Scott Wakefield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 332 Medcrest Dr, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102 | |
Dr. Bryan S Robinson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 127 E Redstone Ave, Crestview, FL 32539 Phone: 850-634-6464 |