| Mr Thomas Wayne Hart, NP-BC | |
|
705 Okaloosa St, Tallahassee, FL 32310-5455 | |
| (229) 560-0252 | |
| (858) 216-1971 |
| Full Name | Mr Thomas Wayne Hart |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 705 Okaloosa St, Tallahassee, 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 |
|---|---|---|---|
| 1417474180 | NPI | - | NPPES |
| 003212736A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN214796 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | APRN9346173 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 255 |
| St Vincent's Ambulatory Care Inc | 2860411188 | 255 |
| Entity Name | Neurology, Neurosurgery, And Spine Clinic Of South Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184781262 PECOS PAC ID: 5496742819 Enrollment ID: O20040428000610 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051129000302 |
| Entity Name | Bethany Hospice And Palliative Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972709160 PECOS PAC ID: 1052409414 Enrollment ID: O20170428001358 |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Wayne Hart, NP-BC 112 Fairway Dr, Valdosta, GA 31605-6431 Ph: (229) 560-0252 | Mr Thomas Wayne Hart, NP-BC 705 Okaloosa St, Tallahassee, FL 32310-5455 Ph: (229) 560-0252 |
Faye Darby Tinson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Gadsden St, Tallahassee, FL 32301 Phone: 850-576-4073 Fax: 850-576-4073 | |
Kelly Berlinghoff, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1264 Metropolitan Blvd, Tallahassee, FL 32312 Phone: 850-383-3382 | |
Mrs. Romanise Mcswain, BSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2009 Miccosukee Rd Ste A, Tallahassee, FL 32308 Phone: 850-942-2299 | |
Mrs. Shara Bryant, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Centerville Rd Ste 300, Tallahassee, FL 32308 Phone: 850-877-5115 | |
Jennifer Oetting, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2406 E Plaza Dr, Tallahassee, FL 32308 Phone: 850-878-5322 | |
Rachel Oliver, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-877-2105 | |
Bianca F Peck, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 438 W Brevard St, Tallahassee, FL 32301 Phone: 850-759-0366 Fax: 833-449-3559 |