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MARIUSZ J KLIN M D P A
NPI 1508021684
Internal Medicine - Gastroenterology in Panama City, FL

Active since July 28, 2008
2202 STATE AVE, SUITE 301, PANAMA CITY, FL 32405(850) 215-7071(850) 215-7073 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mariusz J Klin M D P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIUSZ J KLIN M D P A (NPI 1508021684), doing business as Emerald Coast Gastroenterology, is a healthcare organization registered as a gastroenterology in Panama City, Florida and active in the NPI registry since July 2008. The organization lists Stephne Ann Blackwell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508021684
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMARIUSZ J KLIN M D P A
Location Address2202 STATE AVE, SUITE 301Panama City, FL 32405-7601
Mailing Address2202 State Ave, Suite 301Panama City, FL 32405-7601 · (850) 215-7071 · Fax (850) 215-7073
Phone(850) 215-7071
Fax(850) 215-7073
Organization SubpartNo
Authorized OfficialStephne Ann BlackwellOffice Manager · (850) 215-7071
Enumeration DateJuly 28, 2008
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1508021684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME85851
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2202 STATE AVE, Panama City, FL 32405
Open in Google Maps ↗

Other Names 1

Doing Business AsEmerald Coast Gastroenterology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariusz J Klin M D P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mariusz J Klin M D P A, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Laura Bracey, ARNP
Nurse Practitioner
NPI 1366456451
2202 STATE AVE STE 2202
Panama City, FL 32405
(850) 215-7071
✔ PECOS✔ Accepts MedicareSame address
Mariusz Klin, MD, PHD
Gastroenterology
NPI 1457357006
5151 N 9TH AVE
Pensacola, FL 32504
(850) 416-7000
✔ PECOS✔ Accepts Medicare94 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariusz J Klin M D P A's NPI number?

The NPI number for Mariusz J Klin M D P A is 1508021684. It was assigned to this organization in the NPPES registry on July 28, 2008. The provider is doing business as Emerald Coast Gastroenterology.

Where is Mariusz J Klin M D P A located?

Mariusz J Klin M D P A is located at 2202 State Ave Suite 301, Panama City, FL 32405. The listed phone number is (850) 215-7071.

What is Mariusz J Klin M D P A's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mariusz J Klin M D P A enrolled in Medicare?

Yes. Mariusz J Klin M D P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mariusz J Klin M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mariusz J Klin M D P A, in Gastroenterology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mariusz J Klin M D P A accept?

Health plans from Ambetter Health and Ambetter of Alabama list Mariusz J Klin M D P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariusz J Klin M D P A was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.