| Braden J Shaffer, APN | |
|
3871 E Highway 98 Ste 203, Port St Joe, FL 32456-5302 | |
| (850) 229-5661 | |
| (850) 229-5662 |
| Full Name | Braden J Shaffer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 3871 E Highway 98 Ste 203, Port St Joe, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679030852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209018862 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11004356 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nhc Homecare | Panama city, FL | Home health agency |
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health System Inc | 3779491386 | 365 |
| Tallahassee Memorial Healthcare Inc | 6103724778 | 436 |
| Entity Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115948 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
| 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 |
| Entity Name | Ascension Sacred Heart Gulf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528336302 PECOS PAC ID: 9830231034 Enrollment ID: O20120302000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Braden J Shaffer, APN 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6014 | Braden J Shaffer, APN 3871 E Highway 98 Ste 203, Port St Joe, FL 32456-5302 Ph: (850) 229-5661 |
Nancy Phipps Anderson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3871 E Highway 98, Suite 203, Port St Joe, FL 32456 Phone: 850-229-5661 Fax: 850-229-5662 | |
Mrs. Christian Laine Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-807-5104 | |
Monica Barfield, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Ms. Patricia A Hammonds, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456 Phone: 850-227-1276 Fax: 850-227-7587 | |
Mrs. Candi Calderon, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Amy E. Miller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1019 Palm Blvd, Port St Joe, FL 32456 Phone: 850-296-0318 | |
Miss Emily Anne Tezak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 |