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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229002947 | FL | Practitioner - Chiropractic | 1557536851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14434 | FL | MD | Chiropractor |
Practice roles (2 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Health and Rehab of Punta Gorda, Inc. | Current |
Accepting new patients | |
| Spinal Health and Rehab of Punta Gorda | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.