Billy Ansel Buckelew (NPI# 1275645384, PAC ID# 3476690520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1275645384 |
PAC ID by PECOS | 3476690520 |
Professional Enrollment ID | I20091023000185 |
Full Name | Billy Ansel Buckelew |
Organization Legal Name | MAGNOLIA MEDICAL CLINIC P.A. |
Address |
131 Magnolia Ave Se Fort Walton FL 32548-7266 |
Phone Number | 8502437681 |
Gender | M |
Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
Graduation Year | 1965 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 8325185473 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100223 | FORT WALTON BEACH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
131 Magnolia Ave Se, Fort Walton, FL 32548-7266 | 8502437681 | MAGNOLIA MEDICAL CLINIC P.A. |
Organization Legal Name | MAGNOLIA MEDICAL CLINIC P.A. |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
John D Sites | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
Street Address |
131 MAGNOLIA AVE SE |
City | FORT WALTON |
State | FL |
Zip | 32548-7266 |
Name | Specialty | Organization | Address |
---|---|---|---|
Crystal A Bonanni | Physician Assistant | All Seasons Allergy and Asthma Center, P.a. | 362 Beal Pkwy Nw, Suite 105, Fort Walton Beach, FL 32548-3926 |
Justin P Clark | Allergy/immunology | All Seasons Allergy and Asthma Center, P.a. | 362 Beal Pkwy Nw, Suite 105, Fort Walton Beach, FL 32548-3926 |
Narendra K Gowda | Internal Medicine | 514 Mary Esther Cutoff Nw, Fort Walton Beach, FL 32548-4025 | |
Kaitlin J Weeks | Physician Assistant | Quality Urgent Care and Wellness Pl | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 |
Kena M Troupe | Nurse Practitioner | Quality Urgent Care and Wellness Pl | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 |
Stephanie Hengle | Nurse Practitioner | Quality Urgent Care and Wellness Pl | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 |
Brittany P Brock | Physician Assistant | Quality Urgent Care and Wellness Pl | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 |
Judy S Cavazos | Physician Assistant | Quality Urgent Care and Wellness Pl | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 |
Jasmine Ts Pang | Family Practice | Quality Urgent Care and Wellness Pl | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 |
Christopher S Lawton | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 220 Fliva Ave Nw, Fort Walton Beach, FL 32548-4257 |
Find all physicians in zip 32548 |
City | FORT WALTON |
Zip Code | 32548 |
Specialty | FAMILY PRACTICE |
City + Specialty | FORT WALTON + FAMILY PRACTICE |
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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.