Melody Koback, | |
1200 Deltona Blvd, Suite 40a, Deltona, FL 32725-6386 | |
(386) 202-6025 | |
Not Available |
Full Name | Melody Koback |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1200 Deltona Blvd, Deltona, 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 |
---|---|---|---|
1952802043 | NPI | - | NPPES |
103491600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11002961 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vmd Primary Providers Central Florida Pllc | 2860806197 | 87 |
Entity Name | Northeast Florida Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992792311 PECOS PAC ID: 0547249518 Enrollment ID: O20040819000233 |
Entity Name | Vmd Primary Providers Central Florida Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134738974 PECOS PAC ID: 2860806197 Enrollment ID: O20210128001072 |
Mailing Address | Practice Location Address |
---|---|
Melody Koback, 1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464 Ph: (386) 202-6025 | Melody Koback, 1200 Deltona Blvd, Suite 40a, Deltona, FL 32725-6386 Ph: (386) 202-6025 |
Elizabeth Bauza Estrada, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1409 E Hancock Dr, Deltona, FL 32725 Phone: 786-259-3944 | |
Marizsa Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2090 Saxon Blvd Ste B, Deltona, FL 32725 Phone: 386-425-3300 | |
Sol Cowart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1857 Providence Blvd, Deltona, FL 32725 Phone: 386-789-8544 | |
Lindsay Piwinski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1565 Saxon Blvd Ste 202, Deltona, FL 32725 Phone: 386-851-0644 | |
Michele Patterson-bauman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1649 Urbana Ave Fl 32725, Deltona, FL 32725 Phone: 609-816-6439 | |
Yahaira Fernandez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Deltona Blvd Apt 40a, Deltona, FL 32725 Phone: 386-202-6025 | |
Evelin Gonzalez Fernandez, APRN/FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2187 Howland Blvd, Deltona, FL 32738 Phone: 386-789-0813 |