Dynamic Pain & Wellness LLC
NPI 1285007989ActiveOrganization· Anesthesiology· Fort Walton Beach, FL
Anesthesiology in Fort Walton Beach, Florida, registered in NPPES in November 2015. The authorized official on file is Mathew McCune, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - interventional pain management.
Overview
| NPI | 1285007989 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2015 |
| Last updated in NPPES | May 8, 2026 |
| Certified by provider | May 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); DME Supplier - Physician - Interventional Pain Management (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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