Individual provider Active NPI

Generoso Masangkay, M.D.

  • Psychiatry Physician
  • Fort Walton Beach, FL
National Provider Identifier
1407823552
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 37527 Issued in FL
Practice address
137 Hospital Dr
Fort Walton Beach, FL 32548
Phone
(850) 833-7599
Fax
(850) 833-7434
NPI assigned
Mar 7, 2006
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 37527 FL Primary

Addresses

Primary practice location

137 Hospital Dr
Fort Walton Beach, FL 32548

Mailing address

137 Hospital Dr
Fort Walton Beach, FL 32548
Phone (850) 833-7599

Other identifiers 1

IdentifierTypeStateIssuer
068302700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130408000065 FL Practitioner - Psychiatry 2163667510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apalachee Center IncGroup PAC ID 3577556604, 22 clinicians

Practice addresses (Care Compare)

2634 Capital Circle NE
BLDG J
Tallahassee, FL 32308-4141
Phone (850) 523-3333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apalachee Center, Inc. CurrentSince Mar 18, 2013 Accepting new patients
Apalachee Center Inc CurrentSince Mar 18, 2013 Accepting new patients
Apalachee Center, Inc. Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center, Inc. Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients

Locations

159 12th St
Apalachicola, FL 32320
Phone (850) 653-9744

13888 NW County Road 12
Bristol, FL 32321
Phone (850) 643-2232

43 Oak St
Crawfordville, FL 32327
Phone (850) 926-5900

225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 973-5124

1996 S Jefferson Hwy
Monticello, FL 32344
Phone (850) 997-3958

1421 S Dixie Hwy
Perry, FL 32348
Phone (850) 584-5613

79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422

2600 Centennial Pl
Ste 200
Tallahassee, FL 32308
Phone (850) 431-5105

2634 Capital Cir NE
Bldg B
Tallahassee, FL 32308
Phone (850) 487-2930

2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 694-0156

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

471 W Tennessee St
Tallahassee, FL 32301
Phone (850) 523-3301

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1407823552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HOSPITAL DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32548",
            "telephone_number": "850-833-7599",
            "fax_number": "850-833-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HOSPITAL DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32548",
            "telephone_number": "850-833-7599",
            "fax_number": "850-833-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASANGKAY",
        "first_name": "GENEROSO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 37527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068302700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.