Dr Anthony Aden Ombogo, MD - Medicare Family Practice in Port Orange, FL

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Dr Anthony Aden Ombogo, MD is a medicare enrolled "Family Medicine" physician in Port Orange, Florida. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Orlando Health Medical Group Inc and his current practice location is 3911 S Nova Rd, Port Orange, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 756-7748.

Dr Anthony Aden Ombogo is licensed to practice in Florida (license number ME108702) 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 1417266024.

Contact Information

Dr Anthony Aden Ombogo, MD
3911 S Nova Rd,
Port Orange, FL 32127-4910
(386) 756-7748
(386) 761-5449

Map and Direction




Physician's Profile

Full NameDr Anthony Aden Ombogo
GenderMale
SpecialityFamily Practice
Experience17 Years
Location3911 S Nova Rd, Port Orange, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Anthony Aden Ombogo graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1417266024
  • Provider Enumeration Date: 09/30/2010
  • Last Update Date: 06/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254502123
  • Enrollment ID: I20110926000578

Medical Identifiers

Medical identifiers for Dr Anthony Aden Ombogo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417266024NPI-NPPES
003112054AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TRN12964 (Florida)Secondary
207Q00000XFamily Medicine 66728 (Georgia)Secondary
207Q00000XFamily Medicine ME108702 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Orlando HealthOrlando, FLHospital
Adventhealth OrlandoOrlando, FLHospital
Orlando Health South Lake HospitalClermont, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orlando Health Medical Group Inc95370590841478

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. Dr Anthony Aden Ombogo allows following entities to bill medicare on his behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443
Entity NameOrlando Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429577
PECOS PAC ID: 9537059084
Enrollment ID: O20040318000044

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. Dr Anthony Aden Ombogo 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 AddressPractice Location Address
Dr Anthony Aden Ombogo, MD
303 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2709

Ph: (386) 756-7748		Dr Anthony Aden Ombogo, MD
3911 S Nova Rd,
Port Orange, FL 32127-4910

Ph: (386) 756-7748

Reviews and Comments


Family Medicine Doctors in Port Orange, FL

Dr. Sandra Buchanan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1185 Dunlawton Ave, Suite 104, Port Orange, FL 32127
Phone: 386-767-5477    Fax: 386-767-5580
Dr. Michael Morgan Dietch Iii, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3875 S Nova Rd, Port Orange, FL 32127
Phone: 386-322-9244    Fax: 386-788-9776
Dr. George Thomas Bernardo, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 790 Dunlawton Ave, Suite E, Port Orange, FL 32127
Phone: 386-760-1877    Fax: 386-760-2791
Dr. Raul L Zimmerman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129
Phone: 386-425-8720    Fax: 386-322-4720
Dr. Carol M Gaines, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5535 S. Williamson Blvd, Suite 700, Port Orange, FL 32128
Phone: 386-231-6300    Fax: 386-322-6165
Donald White, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 740 Dunlawton Ave, Port Orange, FL 32127
Phone: 386-763-1000    
Anunporn Srisawat, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4554 S Clyde Morris Blvd, Suite 2, Port Orange, FL 32129
Phone: 386-304-2990    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.