Lisa Gonsalves, MD | |
335 Clyde Morris Blvd, Suite 240, Ormond Beach, FL 32174-3181 | |
(386) 231-3561 | |
(386) 677-6501 |
Full Name | Lisa Gonsalves |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 36 Years |
Location | 335 Clyde Morris Blvd, Ormond Beach, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114997616 | NPI | - | NPPES |
372053500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0060521 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventhealth Primary Care Network Inc | 1557722410 | 338 |
Entity Name | Adventhealth Primary Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
Mailing Address | Practice Location Address |
---|---|
Lisa Gonsalves, MD Po Box 730729, Ormond Beach, FL 32173-0729 Ph: (386) 231-3561 | Lisa Gonsalves, MD 335 Clyde Morris Blvd, Suite 240, Ormond Beach, FL 32174-3181 Ph: (386) 231-3561 |
Dr. Richard Branoff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 545 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-6243 Fax: 386-677-7463 | |
Teresa Hernandez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1184 Ocean Shore Blvd, Ormond Beach, FL 32176 Phone: 386-481-6102 | |
Dr. Craig Allan Miller, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Hand Ave, Suite K, Ormond Beach, FL 32174 Phone: 386-673-0517 Fax: 386-671-2771 | |
Dr. Sandford H. Kinne Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174 Phone: 386-677-5600 Fax: 386-677-5686 | |
Dr. Therese A Ibrahim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174 Phone: 386-615-8122 Fax: 844-899-3686 | |
Dr. Donald Benett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 731327, Ormond Beach, FL 32173 Phone: 386-677-6644 |