Charles Gresham Rose Stoneburner Jr, MD in Orange City, FL

Charles Gresham Rose Stoneburner Jr, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Orange City, Florida. He went to Virginia Commonwealth University, School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Florida Hospital Medical Group Inc, Florida Radiology Imaging At Lake Mary Llc and his current practice location is 1055 Saxon Blvd, Orange City, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 917-5526.

Charles Gresham Rose Stoneburner Jr is licensed to practice in Florida (license number ME120997) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609210129.

Contact Information

	Charles Gresham Rose Stoneburner Jr, MD
	1055 Saxon Blvd, Orange City, FL 32763-8468
	(386) 917-5526
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles Gresham Rose Stoneburner Jr
Gender	Male
Speciality	Interventional Radiology
Experience	11 Years
Location	1055 Saxon Blvd, Orange City, 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.

Medical Education and Training:

Charles Gresham Rose Stoneburner Jr attended and graduated from Virginia Commonwealth University, School Of Medicine in 2013

NPI Data:

NPI Number: 1609210129
Provider Enumeration Date: 04/26/2013
Last Update Date: 11/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6204077563
Enrollment ID: I20210630003944

Medical Identifiers

Medical identifiers for Charles Gresham Rose Stoneburner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609210129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	S0099 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	57448 (Kentucky)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	ME120997 (Florida)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	ME120997 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Florida Hospital Flagler	Palm coast, FL	Hospital
Adventhealth Daytona Beach	Daytona beach, FL	Hospital
Adventhealth Orlando	Orlando, FL	Hospital
Adventhealth Waterman	Tavares, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Hospital Medical Group Inc	0042383200	228
Florida Radiology Imaging At Lake Mary Llc	1254311137	184

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Gresham Rose Stoneburner Jr allows following entities to bill medicare on his behalf.

Entity Name	Florida Radiology Imaging At Lake Mary Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20040721001414

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20080721000717

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Gresham Rose Stoneburner Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles Gresham Rose Stoneburner Jr, MD 1055 Saxon Blvd, Orange City, FL 32763-8468 Ph: () -	Charles Gresham Rose Stoneburner Jr, MD 1055 Saxon Blvd, Orange City, FL 32763-8468 Ph: (386) 917-5526

Reviews and Comments

Radiology Doctors in Orange City, FL

Dr. Diane R Horowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 830 Commed Blvd, Suite E, Orange City, FL 32763 Phone: 386-456-0111
Dwight Dwain Hoarau, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5526 Fax: 386-917-5553
Penelope Block, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5000
Alan R Forbes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2776 Enterprise Rd # 100, Orange City, FL 32763 Phone: 386-774-1223 Fax: 386-774-4658
Dr. Zachary E Ballenger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5000
Dr. Mehmet Sait Albayram, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5526 Fax: 386-917-5553
Samana Zaidi, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5526 Fax: 386-917-5553

Charles Gresham Rose Stoneburner Jr, MD - Medicare Interventional Radiology in Orange City, FL