Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gary William Mousseau, PA-C

Individual provider Medical Physician Assistant · NPI 1861593956

Mr. Gary William Mousseau, PA-C is a Physician Assistant in Fort Walton Beach, Florida. Qualified in 1979, 47 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
47
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone: (850) 863-6600
Fax: (850) 862-0977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9112347 (FL)

Record details

NPI number1861593956
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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