| Mel-bay Health Care Inc | |
|
950 S Apollo Blvd Melbourne FL 32901 | |
| (321) 473-8400 | |
| (321) 914-0888 |
| Full Name | Mel-bay Health Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 S Apollo Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Kishore R Patsamatla (OWNER) |
| Authorized Official Contact | 3214738400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mel-bay Health Care Inc P.o Box 560010 Rockledge FL 32956 Ph: (321) 473-8400 | Mel-bay Health Care Inc 950 S Apollo Blvd Melbourne FL 32901 Ph: (321) 473-8400 |
| NPI Number | 1407162654 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 3375737992 |
|---|---|
| Medicare Enrollment ID | O20101027001447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407162654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ian Richard Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316944317 PECOS PAC ID: 3870480452 Enrollment ID: I20040228000346 |
| Provider Name | Kish0re R Patsamatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710935267 PECOS PAC ID: 1557355799 Enrollment ID: I20071119000126 |
| Provider Name | Jaymie Agsalud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518925742 PECOS PAC ID: 8527073014 Enrollment ID: I20090114000637 |
| Provider Name | Vikash Priyadarshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598995185 PECOS PAC ID: 5395991855 Enrollment ID: I20120816000112 |
| Provider Name | Diego Ismael Florentin Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629366380 PECOS PAC ID: 6204057144 Enrollment ID: I20170807001829 |
| Provider Name | Inesa Salei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992012686 PECOS PAC ID: 2860620333 Enrollment ID: I20171218001186 |
| Provider Name | Michael Ianniello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821444951 PECOS PAC ID: 8325330491 Enrollment ID: I20190613000917 |
| Provider Name | Joseph Rabinowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053548818 PECOS PAC ID: 4385890904 Enrollment ID: I20190905000722 |
| Provider Name | Shaun Robert Spinks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255545752 PECOS PAC ID: 3678623428 Enrollment ID: I20190913000462 |
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