Edward Degon, D.C.

Individual provider Active NPI Chiropractor · Osprey, FL

NPI 1013068477 · NPPES record last updated Feb 21, 2024

Key facts

NPI
1013068477
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CH14434 (FL)
Practice address
616 Oak Bay Dr
Osprey, FL 34229-8960
Phone
(941) 408-6390
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinal Health and Rehab of Punta Gorda (5 clinicians)

Practice addresses (Care Compare)

2905 Tamiami TRL
Punta Gorda, FL 33950-7272
Phone (941) 205-2180

324 Cross St
Punta Gorda, FL 33950-4828
Phone (941) 205-2180

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240229002947 FL Practitioner - Chiropractic 1557536851 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CH14434FLMDChiropractor

Practice roles (2 of 10)

OrganizationSpecialtyStatusNew patients
Spinal Health and Rehab of Punta Gorda, Inc. Current
since Sep 1, 2024
Accepting new patients
Spinal Health and Rehab of Punta Gorda Current
since Sep 1, 2024
Accepting new patients

Locations

2905 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 205-2180

324 Cross St
Punta Gorda, FL 33950
Phone (941) 205-2180

Networks

  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • FL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO C-SNP
  • FL HMO

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14434 FL Yes

Addresses

Primary practice location

616 Oak Bay Dr
Osprey, FL 34229-8960

Mailing address

616 Oak Bay Dr
Osprey, FL 34229-8960
Phone (941) 408-6390

Other providers in Osprey, FL

All providers in Osprey, FL · Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.