Patrick John Anastasio (NPI# 1598731770, PAC ID# 6800834581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1598731770 |
| PAC ID by PECOS | 6800834581 |
| Professional Enrollment ID | I20050425000690 |
| Full Name | Patrick John Anastasio |
| Organization Legal Name | EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. |
| Address |
917 Mar Walt Dr Fort Walton Beach FL 32547-6759 |
| Phone Number | 8508623979 |
| Gender | M |
| Credential | MD |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 5092753772 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| 100054 | TWIN CITIES HOSPITAL |
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| Address | Phone | Organization |
|---|---|---|
| 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 | 8508623979 | EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. |
| Organization Legal Name | EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Vincent Florendo Tablang | Infectious Disease | Emerald Coast Infectious Diseases Medical Group, P.a. | 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Hemant Ravinder Kade | Infectious Disease | Emerald Coast Infectious Diseases Medical Group, P.a. | 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Street Address |
917 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-6759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Vincent Florendo Tablang | Infectious Disease | Emerald Coast Infectious Diseases Medical Group, P.a. | 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Hemant Ravinder Kade | Infectious Disease | Emerald Coast Infectious Diseases Medical Group, P.a. | 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| 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 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FORT WALTON BEACH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Patrick John Anastasio.
| 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.