Clyde Pence (NPI# 1669458113, PAC ID# 5294768255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1669458113 |
PAC ID by PECOS | 5294768255 |
Professional Enrollment ID | I20050928000766 |
Full Name | Clyde Pence |
Organization Legal Name | NEPHROLOGY ASSOCIATES OF THE GULF COAST PA |
Address |
598 N Fairfield Dr Pensacola FL 32506-4320 |
Phone Number | 8504748121 |
Gender | M |
Credential | MD |
Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1973 |
Primary Specialty | NEPHROLOGY |
Group Practice PAC ID | 8729001516 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100025 | SACRED HEART HOSPITAL |
100122 | NORTH OKALOOSA MEDICAL CENTER |
100231 | WEST FLORIDA HOSPITAL |
100081 | HEALTHMARK REGIONAL MEDICAL CENTER |
010099 | D W MCMILLAN MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
598 N Fairfield Dr, Pensacola, FL 32506-4320 | 8504748121 | NEPHROLOGY ASSOCIATES OF THE GULF COAST PA |
8333 N Davis Hwy, Pensacola, FL 32514-6050 | 8504748121 | NEPHROLOGY ASSOCIATES OF THE GULF COAST PA |
Organization Legal Name | NEPHROLOGY ASSOCIATES OF THE GULF COAST PA |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
George B Antonious | Nephrology | Nephrology Associates of The Gulf Coast Pa | 150 W Peachtree St, Foley, AL 36535-2244 |
Linda C Stallings | Nephrology | Nephrology Associates of The Gulf Coast Pa | 807 E Craig St, Atmore, AL 36502-3017 |
Shadi E Oweis | Nephrology | Nephrology Associates of The Gulf Coast Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
Street Address |
598 N FAIRFIELD DR |
City | PENSACOLA |
State | FL |
Zip | 32506-4320 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Hattaway | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4929 Mobile Hwy, Pensacola, FL 32506-3229 |
Deronda L Maniscalco | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4929 Mobile Hwy, Pensacola, FL 32506-3229 |
Leslie B Thomas | Family Practice | Sacred Heart Hospital of Pensacola | 4929 Mobile Hwy, Pensacola, FL 32506-3229 |
Kathryn R Hunt | Family Practice | Sacred Heart Hospital of Pensacola | 4929 Mobile Hwy, Pensacola, FL 32506-3229 |
James W Andrews | Optometry | 5062 Mobile Hwy, Pensacola, FL 32506-3240 | |
Jamie Congleton | Optometry | 4600 Mobile Hwy 122, Pensacola, FL 32506-3500 | |
Vanessa L Phelps | Nurse Practitioner | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | |
Thomas A Roberts | Chiropractic | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | |
Troy D Bell | Optometry | Bell and Terrezza O.d, P.a. | 800 N Fairfield Dr, Pensacola, FL 32506-4313 |
Richard W Reed | Optometry | Bell and Terrezza O.d, P.a. | 800 N Fairfield Dr, Pensacola, FL 32506-4313 |
Find all physicians in zip 32506 |
City | PENSACOLA |
Zip Code | 32506 |
Specialty | NEPHROLOGY |
City + Specialty | PENSACOLA + NEPHROLOGY |
Please comment or provide details below to improve the information on Clyde Pence.
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.