| Susan Rene Ferguson, PA-C | |
|
141 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459-7194 | |
| (850) 863-5990 | |
| (850) 862-0041 |
| Full Name | Susan Rene Ferguson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 141 Mack Bayou Loop Ste 101, Santa Rosa Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659635829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 9106360 (Florida) | Primary |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Entity Name | Gastroenterology Consultants of |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993833 PECOS PAC ID: 1951362607 Enrollment ID: O20041026000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Rene Ferguson, PA-C 417a Racetrack Rd Nw Ste 2, Fort Walton Beach, FL 32547-4604 Ph: (850) 863-5990 | Susan Rene Ferguson, PA-C 141 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459-7194 Ph: (850) 863-5990 |
Mr. George Norman Roll, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5399 East County Highway 30a, Suite 5, Santa Rosa Beach, FL 32459 Phone: 850-231-6200 Fax: 850-231-3500 |
Mr. Stephen Jacob Mosley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 64 Pine Knoll Ln, Santa Rosa Beach, FL 32459 Phone: 770-757-2190 |
Ms. Rachel Nicole Perret, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 82 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-233-3376 Fax: 850-522-8354 |
Mrs. Jordan Zemis Miles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-390-4540 Fax: 850-390-4540 |
Richard Magana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5551 Us Highway 98, Santa Rosa Beach, FL 32459 Phone: 850-420-5420 Fax: 850-244-8011 |
Jaclyn S Rieben, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 82 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-233-3376 Fax: 850-522-8354 |