Harry H Black, MD | |
201 North Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32114-2724 | |
(386) 238-3295 | |
(386) 328-3273 |
Full Name | Harry H Black |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 40 Years |
Location | 201 North Clyde Morris Blvd, 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 |
---|---|---|---|
1982691077 | NPI | - | NPPES |
ME0048766 | Other | FL | DCWO |
08331 | Other | FL | BCBS |
P00871769 | Other | FL | RAILROAD MEDICARE |
ME0048766 | Other | FL | VHN |
275548300 | Medicaid | FL | |
1982691077 | Other | FL | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME0048766 (Florida) | Primary |
2086S0127X | Surgery - Trauma Surgery | ME48766 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Health Care Plan Inc | 9436201233 | 82 |
Entity Name | Halifax Healthcare Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Entity Name | Florida Health Care Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
Entity Name | East Coast Bariatrics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932428372 PECOS PAC ID: 4486834629 Enrollment ID: O20110205000036 |
Mailing Address | Practice Location Address |
---|---|
Harry H Black, MD Po Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130 | Harry H Black, MD 201 North Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32114-2724 Ph: (386) 238-3295 |
Dr. Christian L Birkedal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117 Phone: 386-231-3530 Fax: 386-231-3534 | |
Joseph C Sinex, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 N Clyde Morris Blvd, #100, Daytona Beach, FL 32114 Phone: 386-238-3295 | |
Ms. Delinda Demita Wills, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-254-4152 Fax: 386-254-4315 | |
Dr. Tomasz Kozlowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114 Phone: 386-425-4650 Fax: 386-425-7510 | |
Michael A Fabian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 | |
Emily Oswald, APRN Surgery Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd Ste 500, Daytona Beach, FL 32114 Phone: 386-425-2639 | |
Dr. Andrew William Gamenthaler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117 Phone: 386-274-0250 Fax: 386-274-0269 |