Dr Jose Luis Vega, MD, PHD | |
1350 Hickory St, Melbourne, FL 32901-3224 | |
(321) 434-1771 | |
(321) 434-1775 |
Full Name | Dr Jose Luis Vega |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 22 Years |
Location | 1350 Hickory St, Melbourne, 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 |
---|---|---|---|
1558503458 | NPI | - | NPPES |
ME 107295 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
245740 | Other | NY | STATE OF NEW YORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 245740 (New York) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME 107295 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Medical Center | Greenville, NC | Hospital |
Novant Health Matthews Medical Center | Matthews, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Medical Group Llc | 0345343893 | 850 |
Novant Medical Group Inc | 1153234893 | 2023 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659571768 PECOS PAC ID: 1153234893 Enrollment ID: O20080207000174 |
Entity Name | Moses Cone Physician Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Luis Vega, MD, PHD 1223 Gateway Dr, Melbourne, FL 32901-2607 Ph: (321) 725-4500 | Dr Jose Luis Vega, MD, PHD 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-1771 |
Dr. Earnest Edward Seiler Iii, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1696 West Hibiscus Blvd, Ste A, Melbourne, FL 32901 Phone: 321-725-0554 Fax: 321-952-0202 | |
Angela S Spencer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2100 N Wickham Rd, Melbourne, FL 32935 Phone: 321-752-7100 Fax: 321-752-7105 | |
Mr. Gary Mosher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3040 N Wickham Rd, Suite 3, Melbourne, FL 32935 Phone: 321-254-3042 Fax: 321-254-4770 | |
William R Sunter Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr, Suite 2g, Melbourne, FL 32901 Phone: 321-473-7177 Fax: 321-725-7028 | |
Dr. Kelly Lynn Dunn, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1696 West Hibiscus Blvd Suite A, Melbourne, FL 32901 Phone: 321-725-0554 Fax: 321-952-0202 | |
Dr. Bethann Mahoney, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 S Harbor City Blvd, Melbourne, FL 32901 Phone: 321-259-1662 Fax: 321-259-1223 | |
Santiago Gancayco De Los Angeles, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 |