Patrick Terry Mangonon, MD | |
305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5168 | |
(386) 231-3600 | |
(386) 231-3602 |
Full Name | Patrick Terry Mangonon |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 32 Years |
Location | 305 Memorial Medical Pkwy, 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 |
---|---|---|---|
1023067584 | NPI | - | NPPES |
256707500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME77600 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health | Jacksonville, FL | Home health agency |
Adventhealth Home Care East Florida | Ormond beach, FL | Home health agency |
Kindred At Home | Daytona beach, FL | Home health agency |
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Health Systems Inc | 9739081142 | 83 |
Entity Name | Memorial Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
Mailing Address | Practice Location Address |
---|---|
Patrick Terry Mangonon, MD 305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5168 Ph: (386) 231-3600 | Patrick Terry Mangonon, MD 305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5168 Ph: (386) 231-3600 |
Andrew Edward Everett, MD (ANTICIPATED) Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3605 | |
Dr. Sohit K Khanna, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd Ste 100, Daytona Beach, FL 32114 Phone: 386-226-2662 | |
Dr. Cary H Meyers, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602 |