Gary William Mousseau (NPI# 1861593956, PAC ID# 9830427566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861593956 |
| PAC ID by PECOS | 9830427566 |
| Professional Enrollment ID | I20190820000979 |
| Full Name | Gary William Mousseau |
| Organization Legal Name | WHITE WILSON MEDICAL CENTER PA |
| Address |
1005 Mar Walt Dr Fort Walton Beach FL 32547-6796 |
| Phone Number | 8508638100 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082510607 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 | 8508638100 | WHITE WILSON MEDICAL CENTER PA |
| 1032 Mar Walt Drive, 210 Gastroenterology Office, Fort Walton Beach, FL 32547-6796 | 8508638260 | WHITE WILSON MEDICAL CENTER PA |
| 999 Mar Walt Dr, East Building, Ft Walton Beach, FL 32547-6796 | 8508638100 | WHITE WILSON MEDICAL CENTER PA |
| 2001 E Hwy 20, Niceville, FL 32578-8826 | 8508974400 | WHITE WILSON MEDICAL CENTER PA |
| Organization Legal Name | WHITE WILSON MEDICAL CENTER PA |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Anne Lanzola | Nurse Practitioner | White Wilson Medical Center Pa | 2001 E Hwy 20, Niceville, FL 32578-8826 |
| Erica Clarkson | Nurse Practitioner | White Wilson Medical Center Pa | 1110 Hospital Rd, Suite 1112, Fort Walton Beach, FL 32547-6742 |
| Brianne Jane Freel | Nurse Practitioner | White Wilson Medical Center Pa | 1032 Mar Walt Drive, 210 Gastroenterology Office, Fort Walton Beach, FL 32547-6796 |
| Patricia Ann Burnett | Nurse Practitioner | White Wilson Medical Center Pa | 8990 Navarre Pkwy, Navarre, FL 32566-2157 |
| Shawn Gerard Hughes | Pain Management | White Wilson Medical Center Pa | 999 Mar Walt Dr, East Building, Ft Walton Beach, FL 32547-6796 |
| Gregory James Piacente | Neurology | White Wilson Medical Center Pa | 1106 Hospital Rd, Fort Walton Beach, FL 32547-6742 |
| John Christofer Dali | General Surgery | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Timothy David Skinner | Qualified Audiologist | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Jennifer Engle Bisson | Physician Assistant | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Deborah Lynn Gilmore | Nurse Practitioner | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Street Address |
1005 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-6796 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Christofer Dali | General Surgery | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Timothy David Skinner | Qualified Audiologist | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Jennifer Engle Bisson | Physician Assistant | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Deborah Lynn Gilmore | Nurse Practitioner | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| William Elsworth Gross | Otolaryngology | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Janet A Reeves | Nurse Practitioner | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Chinh Vien Van | Family Medicine | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Karl Walter Metz | General Practice | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Ryan D Weprin | Hospitalist | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Clarence Michael Hutto | Nurse Practitioner | White Wilson Medical Center Pa | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6796 |
| Find all physicians in the same address | |||
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WALTON BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gary William Mousseau.
| 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.