Emilia M Banse (NPI# 1215278650, PAC ID# 1456593060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215278650 |
| PAC ID by PECOS | 1456593060 |
| Professional Enrollment ID | I20150225002201 |
| Full Name | Emilia M Banse |
| Organization Legal Name | EMERALD COAST MEMORY CLINIC LLC |
| Address |
225 Turquoise Bch Dr Santa Rosa Beach FL 32459-3063 |
| Phone Number | 7864234707 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486911641 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 | 7864234707 | EMERALD COAST MEMORY CLINIC LLC |
| Organization Legal Name | EMERALD COAST MEMORY CLINIC LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy M Depury | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Farid Chekaoui | Psychiatry | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Carmen Y Brezna | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Sara A Lepisto | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Lauren Baer | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Kimberly A Burnsed | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Street Address |
225 TURQUOISE BCH DR |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip | 32459-3063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy M Depury | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Farid Chekaoui | Psychiatry | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Carmen Y Brezna | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Sara A Lepisto | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Lauren Baer | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Kimberly A Burnsed | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee R Mccormack | Nurse Practitioner | 201 N Blue Heron Dr, Santa Rosa Beach, FL 32459-0201 | |
| Christine Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| Justin T Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| James Benjamin Renfroe | Neurology | Child Neurology Center of Northwest Florida Pa | 23 Mack Bayou Loop, Suite 100, Santa Rosa Beach, FL 32459-2606 |
| Erin D Fowler | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Rebecca G Block | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Warren R. Amos | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Ravichandra K Sandrapaty | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| James H Stevens | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Jayanth G Rao | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Find all physicians in zip 32459 | |||
| City | SANTA ROSA BEACH |
| Zip Code | 32459 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SANTA ROSA BEACH + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.