Mr Theodore Frank Matejka, ARNP-BC | |
1150 Red John Dr, Daytona Beach, FL 32124-1016 | |
(386) 236-1711 | |
(386) 226-0200 |
Full Name | Mr Theodore Frank Matejka |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 1150 Red John Dr, 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 |
---|---|---|---|
1396742490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | ARNP3074712 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP3074712 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sma Healthcare Inc | 0244226363 | 24 |
Entity Name | Sma Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483 |
Mailing Address | Practice Location Address |
---|---|
Mr Theodore Frank Matejka, ARNP-BC 1150 Red John Dr, Daytona Beach, FL 32124-1016 Ph: (386) 236-1711 | Mr Theodore Frank Matejka, ARNP-BC 1150 Red John Dr, Daytona Beach, FL 32124-1016 Ph: (386) 236-1711 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 | |
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597 |