| Tracy A Deaton, PA | |
|
801 E 6th St Ste 307, Panama City, FL 32401-3663 | |
| (850) 804-3823 | |
| (850) 608-6423 |
| Full Name | Tracy A Deaton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 801 E 6th St Ste 307, Panama City, 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 |
|---|---|---|---|
| 1154382521 | NPI | - | NPPES |
| APPR | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9118037 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Ascension Sacred Heart Pensacola | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health System Inc | 3779491386 | 373 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy A Deaton, PA 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Tracy A Deaton, PA 801 E 6th St Ste 307, Panama City, FL 32401-3663 Ph: (850) 804-3823 |
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 |