Adventhealth Medical Group - Medicare Mental Health Clinic in Maitland, FL

Adventhealth Medical Group is a medicare enrolled mental health clinic (Family Medicine) in Maitland, Florida. The current practice location for Adventhealth Medical Group is 2600 Westhall Ln Fl 4, Maitland, Florida. For appointments, you can reach them via phone at (407) 200-2700. The mailing address for Adventhealth Medical Group is 2600 Westhall Ln Fl 4, Maitland, Florida and phone number is (407) 200-2700.

Adventhealth Medical Group is licensed to practice in Florida (license number NA). The clinic also participates in the medicare program and its NPI number is 1225034234. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (407) 200-2700.

Contact Information

Adventhealth Medical Group
2600 Westhall Ln Fl 4
Maitland
FL 32751-7102
(407) 200-2700
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameAdventhealth Medical Group
SpecialityFamily Medicine
Location2600 Westhall Ln Fl 4, Maitland, Florida
Authorized Official Name and PositionVance Alan Mclarren (COO)
Authorized Official Contact4072002700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adventhealth Medical Group
2600 Westhall Ln Fl 4
Maitland
FL 32751-7102

Ph: (407) 200-2700
Adventhealth Medical Group
2600 Westhall Ln Fl 4
Maitland
FL 32751-7102

Ph: (407) 200-2700

NPI Details:

NPI Number1225034234
Provider Enumeration Date06/23/2005
Last Update Date03/31/2023
Certification Date03/31/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0749186153
Medicare Enrollment IDO20031208000807

Medical Identifiers

Medical identifiers for Adventhealth Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225034234NPI-NPPES
252226801MedicaidFL
252226811MedicaidFL
252226806MedicaidFL
252226809MedicaidFL
252226814MedicaidFL
252226818MedicaidFL
252226802MedicaidFL
252226808MedicaidFL
252226810MedicaidFL
252226812MedicaidFL
252226813MedicaidFL
252226800MedicaidFL
252226805MedicaidFL
252226807MedicaidFL
24567OtherFLBCBS FL
252226804MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103G00000XClinical Neuropsychologist NA (Florida)Secondary
204F00000XTransplant Surgery NA (Florida)Secondary
207Q00000XFamily Medicine NA (Florida)Primary
207R00000XInternal Medicine NA (Florida)Secondary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Secondary
207V00000XObstetrics & Gynecology NA (Florida)Secondary
207X00000XOrthopaedic Surgery NA (Florida)Secondary
208000000XPediatrics NA (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry NA (Florida)Secondary
208600000XSurgery NA (Florida)Secondary
208C00000XColon & Rectal Surgery NA (Florida)Secondary
208D00000XGeneral Practice NA (Florida)Secondary
208M00000XHospitalist NA (Florida)Secondary
363A00000XPhysician Assistant NA (Florida)Secondary
363L00000XNurse Practitioner NA (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Adventhealth Medical Group acts as a billing entity for following providers:
Provider NameKhurram Moin
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1710980974
PECOS PAC ID: 4587560917
Enrollment ID: I20031208000894
Provider NamePhillip M Dascher
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760439525
PECOS PAC ID: 1557267887
Enrollment ID: I20031209000300
Provider NameAnthony T Perrin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1124003546
PECOS PAC ID: 0042119141
Enrollment ID: I20040116000385
Provider NameVikas Verma
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1528082468
PECOS PAC ID: 9032012687
Enrollment ID: I20040130000230
Provider NameBarry S Weinstock
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1548213200
PECOS PAC ID: 7517860943
Enrollment ID: I20040131000257
Provider NameRobert H Chong
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215932108
PECOS PAC ID: 6901790260
Enrollment ID: I20040209001179
Provider NameSteven C Goldstein
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457387698
PECOS PAC ID: 2365337565
Enrollment ID: I20040217000708
Provider NameAdina M Ion
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144330119
PECOS PAC ID: 3577451657
Enrollment ID: I20040309001295
Provider NameAlice L Floyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710929922
PECOS PAC ID: 5799676821
Enrollment ID: I20040320000169
Provider NameSteven Mark Davis
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1336142678
PECOS PAC ID: 0749273878
Enrollment ID: I20040405001893
Provider NameRandi Ann Rodrigues
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023003100
PECOS PAC ID: 5890789853
Enrollment ID: I20040413000137
Provider NameMary E Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972668754
PECOS PAC ID: 2860488939
Enrollment ID: I20040423000185
Provider NameCesar A Jara
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1295789618
PECOS PAC ID: 1759378219
Enrollment ID: I20040427001006
Provider NameVictoria Lynn Riley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265441760
PECOS PAC ID: 4880681899
Enrollment ID: I20040429001110
Provider NameLouis M Guzzi
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1215923180
PECOS PAC ID: 3173511706
Enrollment ID: I20040503001672
Provider NameGerald B Bornstein
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1598771107
PECOS PAC ID: 1759378706
Enrollment ID: I20040513000445
Provider NameDavid Mateo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679542039
PECOS PAC ID: 6002806692
Enrollment ID: I20040515000062
Provider NameDiahann M Alleyne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073567723
PECOS PAC ID: 0840281259
Enrollment ID: I20040524000084
Provider NamePaul Arnold
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1841294501
PECOS PAC ID: 2668463977
Enrollment ID: I20040524000891
Provider NameJonathan M Fields
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437131919
PECOS PAC ID: 8820079338
Enrollment ID: I20040528000835
Provider NameJay Alan Redan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376562553
PECOS PAC ID: 5193626703
Enrollment ID: I20040601001293
Provider NameLuis A De La Cruz
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1558346494
PECOS PAC ID: 5890777841
Enrollment ID: I20040603000275
Provider NameDaniel T Layish
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1659350320
PECOS PAC ID: 2567446727
Enrollment ID: I20040615001376
Provider NameColleen Dailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548379308
PECOS PAC ID: 5092799973
Enrollment ID: I20040617000366
Provider NameFrancisco Remy
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1679552459
PECOS PAC ID: 6901881903
Enrollment ID: I20040623000641
Provider NameAhmed Masood
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1528047305
PECOS PAC ID: 1557346566
Enrollment ID: I20040623000764
Provider NameHugo J Ramon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649257718
PECOS PAC ID: 1153307871
Enrollment ID: I20040624001424
Provider NameMarcos S. Hazday
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1669434809
PECOS PAC ID: 3274510490
Enrollment ID: I20040706000555
Provider NameLouis J Kantounis
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1639130131
PECOS PAC ID: 5890772024
Enrollment ID: I20040706000568
Provider NameSusan Staba Kelly
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1235170242
PECOS PAC ID: 6507843703
Enrollment ID: I20040706000995
Provider NameMatthew R Albert
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1699729244
PECOS PAC ID: 1355328311
Enrollment ID: I20040707000856
Provider NameOdette C Daley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619958329
PECOS PAC ID: 9234117714
Enrollment ID: I20040712000127
Provider NameRamaswami Krishnan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093762288
PECOS PAC ID: 4587653217
Enrollment ID: I20040712001401
Provider NameJorge J Daaboul
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1720197585
PECOS PAC ID: 4385623495
Enrollment ID: I20040714000280
Provider NameWistar T Moore
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1326076274
PECOS PAC ID: 5597744029
Enrollment ID: I20040717000007
Provider NameCarlos A Alemany
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1770576258
PECOS PAC ID: 7012997174
Enrollment ID: I20040721000457
Provider NameCheryl Clark
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1750337549
PECOS PAC ID: 3870564602
Enrollment ID: I20040804000830
Provider NameEmma Briefer Fritz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982633756
PECOS PAC ID: 7719958594
Enrollment ID: I20040804001239
Provider NameSherryl G Gordon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174525679
PECOS PAC ID: 8527030980
Enrollment ID: I20040807000009
Provider NameMark E Wuchner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861594335
PECOS PAC ID: 7911979620
Enrollment ID: I20040811001275
Provider NameHoward L Rogers
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285656611
PECOS PAC ID: 8921999772
Enrollment ID: I20040818001051
Provider NameJeffrey A Bennett
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1851362396
PECOS PAC ID: 9234103110
Enrollment ID: I20040825000984
Provider NameGary S Allen
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1154327872
PECOS PAC ID: 3274508908
Enrollment ID: I20040826001439
Provider NameMilan A Kothari
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1740282037
PECOS PAC ID: 3971578428
Enrollment ID: I20040830000173
Provider NameDawn M Derrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962613570
PECOS PAC ID: 2365417771
Enrollment ID: I20040830000594
Provider NameNicholas D Poulos
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1669446894
PECOS PAC ID: 2769454693
Enrollment ID: I20040911000064
Provider NameKyle M Crofoot
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1902823941
PECOS PAC ID: 3173590999
Enrollment ID: I20040913000271
Provider NameHarish Mahimacharan Patil
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1871590125
PECOS PAC ID: 4183691744
Enrollment ID: I20040913001282
Provider NameRachel G Humphrey
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730151796
PECOS PAC ID: 2062489404
Enrollment ID: I20040914001173
Provider NameJoyce M Cortes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881883478
PECOS PAC ID: 5890762009
Enrollment ID: I20040915001078
Provider NameMark S Crider
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265439624
PECOS PAC ID: 4880661024
Enrollment ID: I20040915001216
Provider NameThomas Paul Enyart
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1376502161
PECOS PAC ID: 4486622941
Enrollment ID: I20040922000537
Provider NameHector Fabio Lozano
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053361808
PECOS PAC ID: 5092783415
Enrollment ID: I20040922001044
Provider NameChristopher Robert Dorothy
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1144282849
PECOS PAC ID: 9335117662
Enrollment ID: I20040923000595
Provider NameAjay Thakur
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1770571846
PECOS PAC ID: 0941279574
Enrollment ID: I20040929001105
Provider NameJack Haj Obeid
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1104808054
PECOS PAC ID: 9638139876
Enrollment ID: I20041013000203
Provider NameDana Owens
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1568414852
PECOS PAC ID: 6305806555
Enrollment ID: I20041013000282
Provider NameStephanie Rapke
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1285686345
PECOS PAC ID: 6204812142
Enrollment ID: I20041023000000
Provider NameKapil Puri
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1962494211
PECOS PAC ID: 8628039344
Enrollment ID: I20041025001068
Provider NameBobby Nibhanupudy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407956725
PECOS PAC ID: 6002877602
Enrollment ID: I20041026000503
Provider NameRaviprasad Subraya
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1205838596
PECOS PAC ID: 5597664094
Enrollment ID: I20041102001114
Provider NameSigfredo Aldarondo
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1346247467
PECOS PAC ID: 1254323835
Enrollment ID: I20041103000991
Provider NameMary M Callahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831151638
PECOS PAC ID: 5496718025
Enrollment ID: I20041104001167
Provider NameAdnan Akhtar
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1366404642
PECOS PAC ID: 6406819556
Enrollment ID: I20041109000952
Provider NameAhmed Zakari
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1447268297
PECOS PAC ID: 5496718454
Enrollment ID: I20041110000628
Provider NameJames A Lucio
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1649235151
PECOS PAC ID: 9830153139
Enrollment ID: I20041116001099
Provider NamePerwaiz Hussain Rahim
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1629053988
PECOS PAC ID: 7517924434
Enrollment ID: I20041214000114
Provider NameAlejandro C Franceschi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1417957499
PECOS PAC ID: 2668439381
Enrollment ID: I20041214001149
Provider NameMargaret L Webster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205895018
PECOS PAC ID: 7618935818
Enrollment ID: I20041220000814
Provider NameAhmad A Kamme
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1265420517
PECOS PAC ID: 7416906359
Enrollment ID: I20050118000440
Provider NameLesann L Dwyer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467454132
PECOS PAC ID: 1759331952
Enrollment ID: I20050126000012
Provider NameSyed I Mobin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1689653479
PECOS PAC ID: 2466403910
Enrollment ID: I20050202000549
Provider NameVincent Hsu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255331146
PECOS PAC ID: 0042262552
Enrollment ID: I20050214000085
Provider NameHilton M Bernstein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568493310
PECOS PAC ID: 1052363363
Enrollment ID: I20050215000760
Provider NameAnn E Klega
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255406161
PECOS PAC ID: 9234182718
Enrollment ID: I20050224000346
Provider NameNed John Panara
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1922082130
PECOS PAC ID: 1850345208
Enrollment ID: I20050309000612
Provider NameAndrea D Messel
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1861416836
PECOS PAC ID: 2567416563
Enrollment ID: I20050311000227
Provider NameManuel R Perez Izquierdo
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1942288808
PECOS PAC ID: 4183670060
Enrollment ID: I20050323001083
Provider NameEdwin B Hayes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710977988
PECOS PAC ID: 6204804719
Enrollment ID: I20050404000172
Provider NameFortune O Alabi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1124025309
PECOS PAC ID: 1052368743
Enrollment ID: I20050405000753
Provider NamePatrick Gonzalez
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1548278856
PECOS PAC ID: 0446297279
Enrollment ID: I20050413000925
Provider NameLinda M Bleecker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245288554
PECOS PAC ID: 9739128257
Enrollment ID: I20050425001111
Provider NameCharles Azan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1528079456
PECOS PAC ID: 6800835125
Enrollment ID: I20050427000095
Provider NameDonald T Eagle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326086760
PECOS PAC ID: 3173564895
Enrollment ID: I20050512000618
Provider NameJames S Atkins
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1255355442
PECOS PAC ID: 2365488822
Enrollment ID: I20050707000075
Provider NameAtul Madan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1528153236
PECOS PAC ID: 8729049432
Enrollment ID: I20050707000099
Provider NameRichard D Klein
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1740292069
PECOS PAC ID: 5890778351
Enrollment ID: I20050723000072
Provider NameElizabeth P Bugarin
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1013960095
PECOS PAC ID: 0345279907
Enrollment ID: I20050804000730
Provider NameBrian K Dublin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386638922
PECOS PAC ID: 2860421153
Enrollment ID: I20050808000199
Provider NameJuan C Narvaez
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356336432
PECOS PAC ID: 3779574421
Enrollment ID: I20050808000620
Provider NameStephen F Dobkin
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1306899893
PECOS PAC ID: 3072543743
Enrollment ID: I20050813000014
Provider NameDan Nicolas Tran
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1215972336
PECOS PAC ID: 9335126044
Enrollment ID: I20050823000828
Provider NameBeny L Guedes
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598768673
PECOS PAC ID: 4082645528
Enrollment ID: I20050825000029
Provider NameDana Kim Theisen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013947027
PECOS PAC ID: 8729019955
Enrollment ID: I20050826000482
Provider NameOkorie N Okorie
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1902876063
PECOS PAC ID: 6901837129
Enrollment ID: I20050829000041
Provider NameSergio G Moreira
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1790735918
PECOS PAC ID: 5395776355
Enrollment ID: I20050830000135
Provider NameJeannette A Rosales-zincone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033147780
PECOS PAC ID: 1759344674
Enrollment ID: I20050907000056
Provider NameLee Yang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619965514
PECOS PAC ID: 0941233936
Enrollment ID: I20050912000076
Provider NameNaveed Ahmad
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225007321
PECOS PAC ID: 0749232965
Enrollment ID: I20050915000100
Provider NameFawzi Farha
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1477532463
PECOS PAC ID: 6305870254
Enrollment ID: I20050921000242
Provider NameAleem U Dean
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992793608
PECOS PAC ID: 9032022249
Enrollment ID: I20050922000264
Provider NameKaren Iacono
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710968003
PECOS PAC ID: 0648205278
Enrollment ID: I20051003000051
Provider NamePlato J Alexander
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063478303
PECOS PAC ID: 7911922471
Enrollment ID: I20051013000398
Provider NameJin Y Soh Urbano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942240767
PECOS PAC ID: 6901823475
Enrollment ID: I20051025000445
Provider NameMatthew T Newberg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417064841
PECOS PAC ID: 7911924212
Enrollment ID: I20051026000634
Provider NameJohn C Kim
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073554648
PECOS PAC ID: 7113944018
Enrollment ID: I20051031000321
Provider NameCynthia Sue Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114937836
PECOS PAC ID: 1759308489
Enrollment ID: I20051101000396
Provider NameRikkele Saefkow
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1265513113
PECOS PAC ID: 2961420096
Enrollment ID: I20051108000261
Provider NameRicardo Crisostomo
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1679533756
PECOS PAC ID: 9436177490
Enrollment ID: I20051108000607
Provider NameMel F Garrovillo
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1578590014
PECOS PAC ID: 5991766164
Enrollment ID: I20051116000098
Provider NameRamon Osvaldo Martinez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457376964
PECOS PAC ID: 8628971900
Enrollment ID: I20051130000359
Provider NameFares Hakim
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1841383304
PECOS PAC ID: 9830119742
Enrollment ID: I20051206000760
Provider NamePerumalswamy Rajaram
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770597569
PECOS PAC ID: 4284655101
Enrollment ID: I20051207000636
Provider NameJohanne S Dunn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962476044
PECOS PAC ID: 5294756276
Enrollment ID: I20051219000396
Provider NameKim Rashada
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427140664
PECOS PAC ID: 2365464450
Enrollment ID: I20060105000279
Provider NameMichael L Cacciatore
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174548168
PECOS PAC ID: 8921021304
Enrollment ID: I20060111001066
Provider NameIrene B Medary
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1356322572
PECOS PAC ID: 2567485782
Enrollment ID: I20060113000071
Provider NameGregory Allen Delong
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093754202
PECOS PAC ID: 2860473394
Enrollment ID: I20060117000797
Provider NameJoseph D Portoghese
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841295078
PECOS PAC ID: 6901820919
Enrollment ID: I20060117001170
Provider NameVonda R Ware
Provider TypePractitioner - Obstetrics/gynecology
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Provider IdentifiersNPI Number: 1972866911
PECOS PAC ID: 4688947120
Enrollment ID: I20240227004550
Provider NameMinhgiang Nguyen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639676869
PECOS PAC ID: 1254776487
Enrollment ID: I20240228000702
Provider NameLindsey Nicole Gilmour
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780348797
PECOS PAC ID: 4981049012
Enrollment ID: I20240228004589
Provider NameAri Damla
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326495136
PECOS PAC ID: 6103110259
Enrollment ID: I20240229000496
Provider NameWilliam J Rusnak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366854325
PECOS PAC ID: 9638450943
Enrollment ID: I20240301002750
Provider NameFatai Gbolade Adamson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730262015
PECOS PAC ID: 1759726342
Enrollment ID: I20240305003947
Provider NameSagheer Ahmed
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1376962506
PECOS PAC ID: 9335473339
Enrollment ID: I20240306002917
Provider NameDurga Sivacharan Gaddam
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487018578
PECOS PAC ID: 2466743281
Enrollment ID: I20240307000828
Provider NameAriell Kolibas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528658440
PECOS PAC ID: 7911389044
Enrollment ID: I20240308003060
Provider NameJiajing Liu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528415429
PECOS PAC ID: 6800169947
Enrollment ID: I20240312000087
Provider NameHarjasleen Yadav
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235526492
PECOS PAC ID: 4082951512
Enrollment ID: I20240313001040
Provider NameAkshita Mehta
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679927776
PECOS PAC ID: 5698170371
Enrollment ID: I20240313002681
Provider NameTaylor Lynn Noto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184923344
PECOS PAC ID: 6103262001
Enrollment ID: I20240314000745
Provider NameVeneshia Campbell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1437546090
PECOS PAC ID: 3375872609
Enrollment ID: I20240314003002
Provider NameNeil G Thayil
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144591801
PECOS PAC ID: 7012130305
Enrollment ID: I20240315003601
Provider NamePolina Kanj
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487035440
PECOS PAC ID: 0143640813
Enrollment ID: I20240319001067
Provider NameDennis Bae
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578187266
PECOS PAC ID: 7719300029
Enrollment ID: I20240320000834
Provider NameDaniel Yanez Frau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124890561
PECOS PAC ID: 5496192817
Enrollment ID: I20240321000809
Provider NameEmma Marie Riordan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184184368
PECOS PAC ID: 6103166152
Enrollment ID: I20240321001663
Provider NameCarrie Copeland
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1518095033
PECOS PAC ID: 2163445222
Enrollment ID: I20240404001007
Provider NameDennis Gilroy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932514379
PECOS PAC ID: 6406107119
Enrollment ID: I20240408000193
Provider NameKevin Sun
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1093154635
PECOS PAC ID: 9931440997
Enrollment ID: I20240415002506
Provider NameStanley J Nyarko
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144234436
PECOS PAC ID: 5698841344
Enrollment ID: I20240418000048
Provider NameAlexander Merritt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184154296
PECOS PAC ID: 3476804048
Enrollment ID: I20240502003744
Provider NameFrank Hebroni
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437509494
PECOS PAC ID: 0941609754
Enrollment ID: I20240507001586
Provider NameDavid Kephart
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1376906958
PECOS PAC ID: 0345532727
Enrollment ID: I20240507002648
Provider NameLidia M Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144903972
PECOS PAC ID: 5092156075
Enrollment ID: I20240508000942
Provider NameAlexander Leroy Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891570024
PECOS PAC ID: 9638510944
Enrollment ID: I20240516002753
Provider NameYosef Greenspon
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942364690
PECOS PAC ID: 3577665090
Enrollment ID: I20240522001876
Provider NameDanielle Toussie
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730574096
PECOS PAC ID: 3173869294
Enrollment ID: I20240612000027
Provider NameMasoud Shiehmorteza
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164724449
PECOS PAC ID: 3274821376
Enrollment ID: I20240612001207
Provider NameHisham Bajwa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356738579
PECOS PAC ID: 3870895022
Enrollment ID: I20240613001631
Provider NameRahila Essani
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1992718050
PECOS PAC ID: 5698943447
Enrollment ID: I20240614000042

Reviews and Comments

Family Medicine in Maitland, FL

Cmg- New Season- St. Louis Metro Treatment Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Maitland Center Parkway 250, Maitland, FL 32751
Phone: 407-351-7080    
Ana L. Gomez, Psy.d. P.a.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 202 Lookout Pl, Suite 100, Maitland, FL 32751
Phone: 407-927-8154    
Serenity Now Counseling Center, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Maitland Center Commons Blvd, Suite 206, Maitland, FL 32751
Phone: 407-788-8600    
Jennifer Tickal, Psy.d., P.a.
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1555 N Maitland Ave, Maitland, FL 32751
Phone: 813-563-5676    
The Bismillah Institute
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2450 Maitland Center Pkwy Ste 202, Maitland, FL 32751
Phone: 786-432-5464    
Dna Comprehensive Therapy Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 100 E Sybelia Ave Ste 150, Maitland, FL 32751
Phone: 239-236-8784    Fax: 239-790-2624
Blanche M Stokley, Lmhc P.a.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 225 S Swoope Ave Ste 205, Maitland, FL 32751
Phone: 407-691-0477    Fax: 407-691-0484

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.