Emerald Coast Infectious Diseases Medical Group, P.a. - Medicare Primary Care in Fort Walton Beach, FL

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Emerald Coast Infectious Diseases Medical Group, P.a. is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in Fort Walton Beach, Florida. The current practice location for Emerald Coast Infectious Diseases Medical Group, P.a. is 917 Mar Walt Dr, Fort Walton Beach, Florida. For appointments, you can reach them via phone at (850) 862-3979. The mailing address for Emerald Coast Infectious Diseases Medical Group, P.a. is 917 Mar Walt Dr, Fort Walton Beach, Florida and phone number is (850) 862-3979.

Emerald Coast Infectious Diseases Medical Group, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1720017882. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (850) 862-3979.

Contact Information

Emerald Coast Infectious Diseases Medical Group, P.a.
917 Mar Walt Dr
Fort Walton Beach
FL 32547-6651
(850) 862-3979
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameEmerald Coast Infectious Diseases Medical Group, P.a.
SpecialityInternal Medicine
Location917 Mar Walt Dr, Fort Walton Beach, Florida
Authorized Official Name and PositionEric Squatrito (CEO)
Authorized Official Contact8507862270
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emerald Coast Infectious Diseases Medical Group, P.a.
917 Mar Walt Dr
Fort Walton Beach
FL 32547-6651

Ph: (850) 862-3979		Emerald Coast Infectious Diseases Medical Group, P.a.
917 Mar Walt Dr
Fort Walton Beach
FL 32547-6651

Ph: (850) 862-3979

NPI Details:

NPI Number1720017882
Provider Enumeration Date07/01/2006
Last Update Date03/05/2026

Medicare PECOS Information:

Medicare PECOS PAC ID5092753772
Medicare Enrollment IDO20050422000315

Medical Identifiers

Medical identifiers for Emerald Coast Infectious Diseases Medical Group, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720017882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
207RA0201XInternal Medicine - Allergy & Immunology (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology (* (Not Available))Secondary
207RC0200XInternal Medicine - Critical Care Medicine (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Emerald Coast Infectious Diseases Medical Group, P.a. acts as a billing entity for following providers:
Provider NamePatrick John Anastasio
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598731770
PECOS PAC ID: 6800834581
Enrollment ID: I20050425000690
Provider NameLuisa S Munoz-price
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1932181583
PECOS PAC ID: 0648269118
Enrollment ID: I20100909000367
Provider NameThomas A Fusco
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467687350
PECOS PAC ID: 1557517257
Enrollment ID: I20120813000511
Provider NameHemant R Kade
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1841539541
PECOS PAC ID: 6709012479
Enrollment ID: I20131202001797
Provider NameFrancia Squatrito
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1801187307
PECOS PAC ID: 8921223165
Enrollment ID: I20140702001578
Provider NameCrystal Gayle Mcvay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710405519
PECOS PAC ID: 5395097307
Enrollment ID: I20181002002549
Provider NameRaymond Lee Halstead
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548742927
PECOS PAC ID: 6800149758
Enrollment ID: I20181023003734
Provider NameMichael Vincent Florendo Tablang
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1679763387
PECOS PAC ID: 7113173279
Enrollment ID: I20190401000180
Provider NameMario Gardner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679117451
PECOS PAC ID: 4688003510
Enrollment ID: I20200329000151
Provider NameJeffrey Lin
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1639622665
PECOS PAC ID: 8820386030
Enrollment ID: I20210520002365
Provider NameRobert J White
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1093884033
PECOS PAC ID: 3779504709
Enrollment ID: I20210625001814
Provider NameSherri L Barton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548904360
PECOS PAC ID: 8426439910
Enrollment ID: I20220714002352
Provider NameHoward M Kussman
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1447293287
PECOS PAC ID: 3375442163
Enrollment ID: I20230330002246
Provider NameMichael Ryan Chambers
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1194259523
PECOS PAC ID: 5496026494
Enrollment ID: I20230515001585
Provider NameRayen Ayoub Chakra
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1033608765
PECOS PAC ID: 9335484674
Enrollment ID: I20230623001062
Provider NameJill M Bilek
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1497243331
PECOS PAC ID: 5294075800
Enrollment ID: I20230913002130
Provider NameMagdalena Slomka
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1235513201
PECOS PAC ID: 6406277599
Enrollment ID: I20241015004300
Provider NameAlvin F Wells
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1134234859
PECOS PAC ID: 3476450883
Enrollment ID: I20241101001055

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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