| Mr Robert E Walsh, PA-C | |
|
709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | |
| (321) 725-2225 | |
| (321) 802-5804 |
| Full Name | Mr Robert E Walsh |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 709 S Harbor City Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639137839 | NPI | - | NPPES |
| 292448000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9103429 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA9103429 (Florida) | Secondary |
| Entity Name | Inphynet Contracting Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Surgical Physician Assistants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467560896 PECOS PAC ID: 4082620992 Enrollment ID: O20060302000175 |
| Entity Name | Dairy Road Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265765531 PECOS PAC ID: 9133269293 Enrollment ID: O20091221000616 |
| Entity Name | Gilford Sound Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760996300 PECOS PAC ID: 3678833951 Enrollment ID: O20180206000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert E Walsh, PA-C 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 Ph: (321) 725-2225 | Mr Robert E Walsh, PA-C 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 Ph: (321) 725-2225 |
Mr. Christian Anthony Staniec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6032 Farcenda Pl, #102, Melbourne, FL 32940 Phone: 321-608-8160 Fax: 321-622-6818 |
Ms. Sabrina Wu Staples, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3337 Hoofprint Dr, Melbourne, FL 32940 Phone: 321-610-7234 |
Ryan Ferland, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 946 Spanish Wells Dr, Melbourne, FL 32940 Phone: 321-474-0089 |
Mr. Patrick Gene Campbell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1494 Avocado Ave, Melbourne, FL 32935 Phone: 321-610-7950 |
Sara Jane Sengel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940 Phone: 321-253-2169 Fax: 321-253-1720 |
Mr. Michael J Ceranowski, PA-C, CAA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 |
Danielle N Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-725-4505 Fax: 321-409-8932 |