| Stockhammer Medical Clinic | |
|
2370 E International Speedway Blvd Deland FL 32724-2744 | |
| (386) 736-1105 | |
| (386) 736-3860 |
| Full Name | Stockhammer Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2370 E International Speedway Blvd, Deland, Florida |
| Authorized Official Name and Position | Michael Landry (MANAGING PARTNER) |
| Authorized Official Contact | 3867361105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockhammer Medical Clinic 2370 E International Speedway Blvd Deland FL 32724-2744 Ph: (386) 736-1105 | Stockhammer Medical Clinic 2370 E International Speedway Blvd Deland FL 32724-2744 Ph: (386) 736-1105 |
| NPI Number | 1093253890 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 4981942505 |
|---|---|
| Medicare Enrollment ID | O20190206002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093253890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jackie W Westfall |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740248152 PECOS PAC ID: 3173421161 Enrollment ID: I20031229000835 |
| Provider Name | Ivette Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629066295 PECOS PAC ID: 5799710208 Enrollment ID: I20051004000512 |
| Provider Name | Lisa R Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982740585 PECOS PAC ID: 7911914932 Enrollment ID: I20060316000386 |
| Provider Name | Joseph Alexander Halinski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982191557 PECOS PAC ID: 8224411301 Enrollment ID: I20220823001555 |
Samuel M Edwards M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 W Plymouth Ave, Deland, FL 32720 Phone: 386-736-7244 Fax: 386-736-8538 | |
Mohan L Sharma Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 East Rich Ave, Deland, FL 32724 Phone: 386-736-1444 Fax: 386-736-9337 | |
Medexpress Urgent Care - Deland, N Woodland Blvd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-0574 Fax: 386-738-0573 | |
Emmanuel Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 N Stone St, Deland, FL 32720 Phone: 386-279-7726 Fax: 386-873-2927 | |
Northeast Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 S Woodland Blvd Ste 4, Deland, FL 32720 Phone: 386-202-6025 Fax: 386-202-1755 | |
Physicians Medical And Injury Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 S Woodland Blvd Ste 200a, Deland, FL 32720 Phone: 386-279-0943 Fax: 386-873-4217 |