Dr Gary S Fishman, MD | |
305 Memorial Medical Pkwy Ste 208, Daytona Beach, FL 32117-5169 | |
(386) 231-3593 | |
(386) 231-3595 |
Full Name | Dr Gary S Fishman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 46 Years |
Location | 305 Memorial Medical Pkwy Ste 208, 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 |
---|---|---|---|
1831138304 | NPI | - | NPPES |
01184647 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 143907 (New York) | Secondary |
207Y00000X | Otolaryngology | ME158843 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Health Systems Inc | 9739081142 | 83 |
Entity Name | Memorial Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
Entity Name | Southeast Volusia Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710346093 PECOS PAC ID: 3870887953 Enrollment ID: O20160818000209 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary S Fishman, MD Po Box 947381, Atlanta, GA 30394-7381 Ph: (386) 671-4519 | Dr Gary S Fishman, MD 305 Memorial Medical Pkwy Ste 208, Daytona Beach, FL 32117-5169 Ph: (386) 231-3593 |
Nancy N Butler, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 208, Daytona Beach, FL 32117 Phone: 386-231-3593 Fax: 386-231-3595 |