Dr Adly Thebaud, MD | |
2725 Rebecca Ln Ste 107, Orange City, FL 32763-8350 | |
(386) 775-0736 | |
(386) 775-0738 |
Full Name | Dr Adly Thebaud |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 46 Years |
Location | 2725 Rebecca Ln Ste 107, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629049770 | NPI | - | NPPES |
008922100 | Medicaid | FL | |
12951 | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME60436 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adly Thebaud,md,pa | 0143270579 | 5 |
Entity Name | Adly Thebaud,md,pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417018482 PECOS PAC ID: 0143270579 Enrollment ID: O20050124001039 |
Mailing Address | Practice Location Address |
---|---|
Dr Adly Thebaud, MD 2725 Rebecca Ln Ste 107, Orange City, FL 32763-8350 Ph: (386) 775-0736 | Dr Adly Thebaud, MD 2725 Rebecca Ln Ste 107, Orange City, FL 32763-8350 Ph: (386) 775-0736 |
Dr. Edmundo I Rivera, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 296 Treemont Dr, Orange City, FL 32763 Phone: 386-774-6001 Fax: 386-774-6044 | |
Dr. Hadas Zachor, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 407-205-2007 | |
Tarek Farouk Bakdash, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-7108 Fax: 386-917-7293 | |
Sunita Tikku, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1061 Medical Center Dr Ste 205, Orange City, FL 32763 Phone: 386-917-7610 Fax: 386-917-7615 |