| Chanelle Brusseau, | |
|
500 W 11th St, Panama City, FL 32401-6304 | |
| (850) 785-8557 | |
| Not Available |
| Full Name | Chanelle Brusseau |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 500 W 11th St, Panama City, 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 |
|---|---|---|---|
| 1467291179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6673 (Connecticut) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 9119597 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Gulf Coast Hospital | Panama city, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Ascension Sacred Heart Gulf | Port saint joe, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urology Institute Llc | 2163653585 | 152 |
| Entity Name | Advanced Urology Institute LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023447935 PECOS PAC ID: 2163653585 Enrollment ID: O20140328000990 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanelle Brusseau, 500 W 11th St, Panama City, FL 32401-6304 Ph: (850) 785-8557 | Chanelle Brusseau, 500 W 11th St, Panama City, FL 32401-6304 Ph: (850) 785-8557 |
Laurie K Boehm, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2428 Jenks Ave, Panama City, FL 32405 Phone: 850-215-6008 Fax: 850-215-6020 |
Mr. Daniel Ray Prentice, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 Forest Park Cir, Panama City, FL 32405 Phone: 850-248-7777 Fax: 850-248-7779 |
Mrs. Ashley Beth Devries, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 114 Airport Rd Ste B, Panama City, FL 32405 Phone: 850-785-0788 Fax: 850-785-1066 |
Morgan Birkel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1931 Martin Luther King Jr Blvd, Panama City, FL 32405 Phone: 850-740-5010 Fax: 850-804-1705 |
Erin Elizabeth Simonds, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 621 W Baldwin Rd, Suite A, Panama City, FL 32405 Phone: 850-747-3661 |
Jenna R Hurley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Doctors Dr, Panama City, FL 32405 Phone: 850-785-8557 |
Olivia Taylor Perdue, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3220 Heartleaf Ave E, Panama City, FL 32405 Phone: 850-381-6997 |