| Gary Gotthelf MD and Associates Inc | |
|
2120 E Johnson Ave Ste 100 Pensacola FL 32514-6091 | |
| (850) 477-3252 | |
| (850) 477-2659 |
| Full Name | Gary Gotthelf MD and Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2120 E Johnson Ave Ste 100, Pensacola, Florida |
| Authorized Official Name and Position | Jennifer Richardson (PRESIDENT) |
| Authorized Official Contact | 8504773252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Gotthelf MD and Associates Inc 2120 E Johnson Ave Ste 100 Pensacola FL 32514-6091 Ph: (850) 477-3252 | Gary Gotthelf MD and Associates Inc 2120 E Johnson Ave Ste 100 Pensacola FL 32514-6091 Ph: (850) 477-3252 |
| NPI Number | 1023000817 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 08/11/2026 |
| Certification Date | 08/11/2026 |
| Medicare PECOS PAC ID | 2466352224 |
|---|---|
| Medicare Enrollment ID | O20040109000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023000817 | NPI | - | NPPES |
| 17449 | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME35416 (Florida) | Primary |
| Provider Name | Adam Peter Tarnosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578514915 PECOS PAC ID: 0749256865 Enrollment ID: I20040909000301 |
| Provider Name | Jennifer Engle Bisson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083678171 PECOS PAC ID: 0648293217 Enrollment ID: I20060110000260 |
| Provider Name | William Shanahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649262510 PECOS PAC ID: 5890837397 Enrollment ID: I20100121000621 |
| Provider Name | Maureen O Padden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679547178 PECOS PAC ID: 8426239328 Enrollment ID: I20110225000281 |
| Provider Name | Kacey Cotoli Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366640310 PECOS PAC ID: 4082891395 Enrollment ID: I20110613000691 |
| Provider Name | Nnenna O Onyemauwa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982037438 PECOS PAC ID: 6002040318 Enrollment ID: I20130927000366 |
| Provider Name | Jennifer Lynn Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699767384 PECOS PAC ID: 7911136148 Enrollment ID: I20140210000609 |
| Provider Name | Jonathan Edward Adair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518441823 PECOS PAC ID: 1759625775 Enrollment ID: I20181203001303 |
| Provider Name | Carolyn Waddell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598214116 PECOS PAC ID: 5496034183 Enrollment ID: I20210216002058 |
| Provider Name | Hannah M Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326608894 PECOS PAC ID: 6406283688 Enrollment ID: I20210507001938 |
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