Omar A Khashaba, MD | |
110 Longwood Ave, Rockledge, FL 32955-2828 | |
(321) 636-2211 | |
Not Available |
Full Name | Omar A Khashaba |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 21 Years |
Location | 110 Longwood Ave, Rockledge, 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 |
---|---|---|---|
1942467576 | NPI | - | NPPES |
P02008560 | Other | FL | RRMEDICARE PTAN |
FY303P | Other | FL | MEDICARE PTAN |
004665600 | Medicaid | FL | |
FY303T | Other | FL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 97357 (Georgia) | Secondary |
208M00000X | Hospitalist | ME112373 (Florida) | Primary |
207R00000X | Internal Medicine | ME112373 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Capital Regional Medical Center | Tallahassee, FL | Hospital |
Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
Warm Springs Medical Center | Warm springs, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deerfield Beach Physician Services, Llc | 3274928270 | 40 |
Florida Hospital Healthcare Partners, Inc | 7012266836 | 269 |
Rural Physicians Group-pannu Pllc | 0345467486 | 98 |
Entity Name | Cogent Healthcare Of Jacksonville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
Entity Name | Health First Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
Entity Name | Floridian Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831530385 PECOS PAC ID: 8527297217 Enrollment ID: O20140128001837 |
Entity Name | Rockledge Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538523295 PECOS PAC ID: 1254621048 Enrollment ID: O20160607001833 |
Entity Name | Sound Physicians Of Florida Iv, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
Entity Name | Khashaba, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215435870 PECOS PAC ID: 4486916491 Enrollment ID: O20180402001169 |
Entity Name | Florida Hospital Healthcare Partners, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
Entity Name | Collins Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457839524 PECOS PAC ID: 9234476920 Enrollment ID: O20190204002452 |
Entity Name | Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063058105 PECOS PAC ID: 3870920861 Enrollment ID: O20200304001501 |
Entity Name | Deerfield Beach Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366100364 PECOS PAC ID: 3274928270 Enrollment ID: O20220520002459 |
Mailing Address | Practice Location Address |
---|---|
Omar A Khashaba, MD 110 Longwood Ave, Rockledge, FL 32955-2828 Ph: (321) 636-2211 | Omar A Khashaba, MD 110 Longwood Ave, Rockledge, FL 32955-2828 Ph: (321) 636-2211 |