Northeast Florida Health Services, Inc
A Medicare group practice based in Deland, FL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0547249518), with 25 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0547249518
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 5
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100901000543 | FL | Part A Provider - Federally Qualified Health Center (FQHC) | 1992792311 |
| O20040819000233 | FL | Part B Supplier - Clinic/Group Practice | 1992792311 |
| O20130814000255 | FL | Part A Provider - Federally Qualified Health Center (FQHC) | 1467907626 |
| O20170621002498 | FL | Part A Provider - Federally Qualified Health Center (FQHC) | 1396282208 |
| O20200504000081 | FL | Part A Provider - Federally Qualified Health Center (FQHC) | 1427605534 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northeast Florida Health Services Inc
- Federally Qualified Health Center (FQHC)
- Deltona, FL
- NPI 1427605534
-
Northeast Florida Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- South Daytona, FL
- NPI 1396282208
-
Northeast Florida Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- Deland, FL
- NPI 1467907626
-
Northeast Florida Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- Pierson, FL
- NPI 1992792311
Practice locations
- Pierson, FL2
- South Daytona, FL2
- Deltona, FL2
- Deland, FL2
Clinicians 25
Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (9).
-
Mia Milena Alonzo Santiago, PA
- Physician Assistant
- Deland, FL
- NPI 1427886076
-
Roberto Rafael Baldassarre, MPAS
- Medical Physician Assistant
- Kissimmee, FL
- NPI 1730673062
-
Angela K Beech, PA-C
- Medical Physician Assistant
- Deltona, FL
- NPI 1538317383
-
Teresa Ann Bowers, APRN- FNP
- Family Nurse Practitioner
- Daytona Beach, FL
- NPI 1255744223
-
John Michael Ham-Ying, M.D.
- Family Medicine Physician
- Deltona, FL
- NPI 1780683870
-
Susan Hamoui, DO
- Pediatrics Physician
- Riverview, FL
- NPI 1518490630
-
Craig A Hardy, PA
- Medical Physician Assistant
- Daytona Beach, FL
- NPI 1740544626
-
Kelsey Hoblick, PA-C
- Physician Assistant
- Deland, FL
- NPI 1366953135
-
David M Jackson, PA-C
- Medical Physician Assistant
- Orange City, FL
- NPI 1952338485
-
Robert O Kessack III, PA
- Physician Assistant
- Pierson, FL
- NPI 1497708952
-
Melody Koback
- Family Nurse Practitioner
- Deltona, FL
- NPI 1952802043
-
Rachel Macalua, PA-C
- Physician Assistant
- Apopka, FL
- NPI 1508230384
-
Bruno Aldo Mancini, M.D.
- Family Medicine Physician
- Orlando, FL
- NPI 1861448052
-
Jorge Luis Martinez Bruna
- Medical Physician Assistant
- Pierson, FL
- NPI 1093544876
-
Vianey Martinez, APRN
- Family Nurse Practitioner
- Pierson, FL
- NPI 1073376133
-
Alondra Ortiz de Jesus, PA-C
- Medical Physician Assistant
- Deltona, FL
- NPI 1740019371
-
Pedro Ortiz
- Medical Physician Assistant
- Deltona, FL
- NPI 1629502463
-
Shruti Patel, PA-C
- Medical Physician Assistant
- Deland, FL
- NPI 1417404237
-
Hussain Esmail Rawji, MD
- Obstetrics & Gynecology Physician
- Deland, FL
- NPI 1932168721
-
Robert Rodriguez, PA-C
- Medical Physician Assistant
- Pierson, FL
- NPI 1619236338
-
Diana Small, APRN
- Family Nurse Practitioner
- Orlando, FL
- NPI 1063392801
-
Flor Toledo
- Advanced Practice Midwife
- Deland, FL
- NPI 1225672850
-
Vanessa Tomoah, PA-C
- Physician Assistant
- Orlando, FL
- NPI 1487534731
-
Toneia Ariana Washington, DDS
- Dentist
- Deltona, FL
- NPI 1972474674
-
Madison McKenzie Zaferatos, PA-C
- Medical Physician Assistant
- Deltona, FL
- NPI 1902635360
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.