Brian Thomas Bogdanowicz, MD | |
303 No. Clyde Morris Blvd., Halifax Health Medical Center & Community Clinic, Daytona Beach, FL 32114-2709 | |
(386) 425-6198 | |
(386) 425-6197 |
Full Name | Brian Thomas Bogdanowicz |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 303 No. Clyde Morris Blvd., Daytona Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265751267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TRN15063 (Florida) | Secondary |
207Q00000X | Family Medicine | ME110715 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brooks Rehabilitation Home Health | Jacksonville, FL | Home health agency |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Primary Care And Sports Medicine, Inc. | 3476989641 | 2 |
Mediquick Urgent Care Centers Inc | 3577542000 | 5 |
Entity Name | Halifax Healthcare Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Entity Name | Mediquick Urgent Care Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053363036 PECOS PAC ID: 3577542000 Enrollment ID: O20040717000026 |
Entity Name | Florida Primary Care And Sports Medicine, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548819741 PECOS PAC ID: 3476989641 Enrollment ID: O20200206001036 |
Mailing Address | Practice Location Address |
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Brian Thomas Bogdanowicz, MD Po Box 864074, Halifax Healthcare Systems, Inc., Orlando, FL 32886-4074 Ph: (386) 226-4590 | Brian Thomas Bogdanowicz, MD 303 No. Clyde Morris Blvd., Halifax Health Medical Center & Community Clinic, Daytona Beach, FL 32114-2709 Ph: (386) 425-6198 |
Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165 | |
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944 | |
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891 | |
Mr. Luther St. James Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, 170, Daytona Beach, FL 32117 Phone: 386-274-3354 Fax: 386-274-5564 | |
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571 | |
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507 | |
Dr. Jose Omar Burgos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-425-4165 Fax: 386-425-7545 |