Edward Supinski, MD in Port Orange, FL - Medicare Internal Medicine

Edward Supinski, MD is a medicare enrolled "Internal Medicine" physician in Port Orange, Florida. She went to Temple University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is 3641 Clyde Morris Blvd Ste 100, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 675-4410.

Edward Supinski is licensed to practice in Florida (license number ME 80671) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700854833.

Contact Information

	Edward Supinski, MD
	3641 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2357
	(386) 675-4410
	(866) 542-5859

Map and Direction

Physician's Profile

Full Name	Edward Supinski
Gender	Female
Speciality	Internal Medicine
Experience	33 Years
Location	3641 Clyde Morris Blvd Ste 100, Port Orange, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward Supinski attended and graduated from Temple University School Of Medicine in 1991

NPI Data:

NPI Number: 1700854833
Provider Enumeration Date: 03/14/2006
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0244384204
Enrollment ID: I20090811000371

Medical Identifiers

Medical identifiers for Edward Supinski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700854833	NPI	-	NPPES
259199500	Medicaid	FL
35630	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME 80671 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vitas Healthcare Corporation Of Florida	Melbourne, FL	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	346

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. Edward Supinski allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Consultants Of Florida, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Edward Supinski 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
Edward Supinski, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: () -	Edward Supinski, MD 3641 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2357 Ph: (386) 675-4410

Reviews and Comments

Internal Medicine Doctors in Port Orange, FL

Vrushak Deshpande, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Andrea Soledad Pagan, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Dr. Gregory J. Stella, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-788-4255
Hardik Shah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242
Souheil Moussly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Turtle Creek Dr, Port Orange, FL 32129 Phone: 386-756-4400 Fax: 386-756-3031
Robert Morris Harpold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3953 S Nova Rd Ste B, Port Orange, FL 32127 Phone: 386-788-4911 Fax: 844-388-6186
Dr. Ashraf S Elsakr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Dunlawton Ave, Ste A, Port Orange, FL 32127 Phone: 386-304-9672 Fax: 386-304-9673

Edward Supinski, MD - Medicare Internal Medicine in Port Orange, FL