| Rustin G Sorensen, PA-C | |
|
1950 Bluewater Blvd, Suite 100, Niceville, FL 32578 | |
| (850) 897-8081 | |
| (850) 897-3846 |
| Full Name | Rustin G Sorensen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 1950 Bluewater Blvd, Niceville, 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 |
|---|---|---|---|
| 1164433827 | NPI | - | NPPES |
| 970023871 | Other | FL | RRMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9101453 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Hca Florida Fort Walton-destin Hospital | Fort walton beach, FL | Hospital |
| Hca Florida Twin Cities Hospital | Niceville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons Pa | 2769381391 | 336 |
| Entity Name | North Florida Surgeons PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Entity Name | Bluewater Orthopedics PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417989617 PECOS PAC ID: 2769473404 Enrollment ID: O20040520001189 |
| Entity Name | Steven S Donchey Mdpa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962666974 PECOS PAC ID: 5890860373 Enrollment ID: O20080818000688 |
| Entity Name | Orthopaedic Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467589010 PECOS PAC ID: 5294823084 Enrollment ID: O20100610000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Rustin G Sorensen, PA-C 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578 Ph: (850) 897-8081 | Rustin G Sorensen, PA-C 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578 Ph: (850) 897-8081 |
Mrs. Clara Naomi Baker Mcnamara, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4566 E County Hwy 20, Suite 100, Niceville, FL 32578 Phone: 850-622-5148 Fax: 850-622-5149 |
Mrs. Amy M. Drab, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2600 Partin Dr N Ste 110, Niceville, FL 32578 Phone: 850-517-6578 Fax: 850-810-5488 |
Allison Sue Herman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Hwy 85, Suite A, Niceville, FL 32578 Phone: 850-517-9041 |
Mr. William H Diamond Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4566 E Highway 20 Ste 101, Niceville, FL 32578 Phone: 850-897-7546 |
Leah Tedder, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2190 Highway 85 N, Niceville, FL 32578 Phone: 850-729-9490 |
Gregory Brent Archer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550-a Twin Cities Boulevard, Orthopaedic And Spine Surgery Center, Niceville, FL 32578 Phone: 850-729-1444 |
Harry F Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Twin Cities Blvd, Suite A, Niceville, FL 32578 Phone: 850-729-1444 Fax: 850-729-0300 |